•Facilitates monthly credentialing for medical and allied health professional staff to ensure compliance with the Medical Staff Bylaws, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), URAC, as well as State regulatory requirements and all other accreditation requirements.•Facilitates the reappointment process for medical and allied health professional staff every two years to ensure compliance with the Medical Staff bylaws, regulatory standards and accreditation standards.Supports the activities of the Credentials Committee, the Interdisciplinary Credentials Committee and the Medical Board.•Ensures compliance with Medical Staff Bylaws, departmental policies and procedures, regulatory requirements and accreditation standards.•Ensures that expiring documents are tracked, practitioners notified 30 to 60 days in advance, and renewal copies obtained before expiration.•Ensures compliance with UUMG delegated credentialing contracts in accordance with regulatory requirements and accreditation standards.•Communicates appropriately with others so that day-to-day operations are facilitated.•Exhibits excellent customer relations with office visitors, department coordinators, physicians, allied health professionals, committee members, coworkers and outside contacts in support of the exceptional patient experience.•Ensure that the credentialing and privileging process is administered fairly across the applicant population.

• Coordinates complex schedules of patients, such as radiology, cardiology testing and lab work.• Organizes required diagnostic screenings.• Assists in the coordination of outside lab work, gathering results and documentation.• Acts as a liaison with patients, outside healthcare professionals and ancillary hospital departments.• Triages and manages calls by providing clinical information to patients, referring physicians, lab and insurance carriers.• Processes and distributes all transcribed notes, letters and reports.• Distributes written communications according to department protocol.• Maintains current lists of patients for various phases of treatment.• Creates new patient charts ensuring that the appropriate documentation is included.• Maintains filing on all patient charts.• Acts as the first point of contact for the department by answering the phone, greeting and directing patients.

• Adhered to data confidentiality practices, coordinated meetings and maintained heavy daily call volumes by leveraging strong multitasking and task prioritization skills.• Instructed new hires on administrative procedures and company policies, closely checking work to verify performance.• Managed and distributed incoming and outgoing mail and packages for staff.• Entered insurance, demographics and health history into patient database.• Checked patients in and out for appointments and collected co-payments.• Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.• Protected patients by observing strict HIPAA guidelines.• Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.• Took messages from patients and promptly relayed to appropriate staff.• Delivered high-quality administrative and customer service to sustain patient and work flows.• Checked patient insurance and collected pre-authorizations for providers.• Worked with operating facilities to schedule procedures on behalf of 1 surgeon.• Booked surgeries according to physician volume and maintained prompt turnaround times.• Scheduled follow-up appointments as designated by physician.

• Coordinated the flow of patients of a cardiology practice. Schedule appointments and procedures in multiple locations where providers and technologists see patients.• Provide appointment information. Used multi line phone system averaging 2,000+ calls a week.• Used electronic health record and electronic practice management software • Collect co-pays/co-insurance, customer service skills in-person and via phone.• Communicate with multiple practice and hospital departments.• Scheduling and management of appointments, procedures for 12+ providers and technologists.• Scheduling for 12 locations.• Established strong work network by building professional relationships with physicians and fellow employees.• Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.

• Coordinating and facilitating staff meetings that may result in competing opinions and recommendations from the Department, as well as other organizations and persons involved in the life of the child.• Coordinate and facilitate multidisciplinary meetings in person or remotely and send notifications to all participants who are required to attend.• Mediate disagreement during MDT meetings to ensure effective communication between participating individuals by using conflict resolution and collaborative problem solving to ensure that the child and family remain the primary focus of each MDT meeting.• Assist participants in using the strengths within the family when determining and establishing goals for the child; confirm best interest factors.• Provide notification to the courts through DFS staff within 48 hours after the conclusion of the meeting when a unanimous consensus could not be reached and prepare written reports, within 5 business days, for the courts outlining the outcome of being unable to reach consensus.• Develop written reports for the courts that outline the overall decisions of the multidisciplinary meetings and the feedback of each individual participant.• Establish and maintain cooperative working relationships with organizations and other agencies involved with child welfare such as community-based care providers, Children’s Legal Services, Guardian ad Litem, schools, clinical professionals, and other community agency resources.• Maintain an organized tracking system to account for multidisciplinary meetings and confirm participation of required attendees.; Document the outcome of multidisciplinary meetings