Highly detailed and positive professional with proven dedication and work ethic. In the Credentialing/Compliance/Audit field for 13 years now and taken part in and led multiple projects. Known for attention to detail, personable nature, and auditing skills. As a Team Lead thrived on developing others. Always eager to learn and find process improvement opportunities. Shines in Projects, Collaboration, and Cross-training with other departments.Top 5 Clifton Strengths are Positivity, Achiever, Woo, Activator, and Adaptability.
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Credentialing LeadPhoenix Credentialing Mar 2024 - Present -
Team Lead CredentialingAmn Healthcare Mar 2021 - Nov 2023Colorado, United States/RemoteTeam Lead Credentialing Analyst-Travel Nursing; Strike Support -Took great pride in my work to help get clinicians to the bedside of patients. Collaborated with amazing, admirable leaders and team members who inspired me every day. · Designated as Team Lead and Subject Matter Expert to support work stoppage projects and train new internal members. Traveled on-site and credentialed clinicians in a fast-paced environment· Support team members through one-on-ones and office hours for coaching, feedback, and growth· Ensured Travel clinicians fulfill hospital and state compliance requirements before start of assignment· License and certification verification, reviewing and scheduling medical documentation verification, running background checks, completing I9 forms, facility required paperwork· Collaborating with Clinicians and Recruiters to complete credentialing process in a matter of a few days.· Projects participated in: FEMA, Mass Vaccination, HSG work stoppage and Rapid Response, 3rd party, Docusign reducing footprint; Program switch testing; Completed Emerging Leader Program, ADKAR; 1 of 4 to participate in Joint Commission Audit; Led Quarterly facility Audit; trained overseas members; Selected to participate in numerous audits· Pivoted quickly to different teams, facilities, projects and responsibilities as the company’s needs changed during and post COVID -
Credentialing SpecialistClinica Family Health Jun 2015 - Jan 2020Lafayette, Colorado● Provided Credentialing services for over 500 Providers and support Staff Practitioners● Worked closely with Recruiting Personnel in on-boarding new Providers andSupport Staff.● Assisted all Providers with staying within guidelines to practice safely● Revamped Credentialing Process to run more efficiently● Took on Private Insurance enrollment of each Provider in addition to Medicareand Medicaid enrollment● Trained full time employee with whom I worked closely as a team● Took Part in bringing all Providers and support staff BLS/ACLS compliant undernew guidelines● Submitted New and Re-assignment Hospital Privileges applications for qualifiedProviders● Completed Re-credentialing Process for each Provider every 2 years andsubmitted to a Board of Directors along with New Provider Files monthly● Worked closely with the Billing Dep. to ensure Providers were enrolled andbillable● Researched and recommended a new software to streamline ourCredentialing/Recredentialing process that was accepted and utilized -
Credentialing SpecialistAlternative Medicine Integration Sep 2011 - Jul 2014Highland Park, Illinois, United States● Handling highly sensitive information (provider files, applications)● Verifying credentials of 900 Chiropractic Providers using multiple sources● Participating in Monthly Committee Meetings● Preparing a Monthly Invoice List● Data Entry● Assisting Providers with the Credentialing Process● Assisting in annual audit● Working collaboratively with health insurances● Assisting with all special projects outside of my department
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Medical Office ReceptionistIllinois Bone & Joint Institute Aug 2009 - Sep 2011Morton Grove, Illinois, United States● Reception work in various fast paced environments● Services for more than 15 specialists a day● Verifying insurance and updating information● Making appointments, batching, responsible for opening and closing the office● Creating intake forms for workers comp cases● Assisted in switching to a paperless system● Data Entry -
Collections Specialist/Customer ServiceSuperior Air-Ground Ambulance Service Oct 2007 - Aug 2009Elmhurst, Illinois, United States● Efficient customer service● Tactful collections● Leading Department collector● Audits and projects for other various departments -
Billing And Coding Specialist/Collections/Customer ServiceAdvanta Physician Management May 2007 - Oct 2007Elmhurst, Illinois, United States● Medisoft, ICD-9 and CPT Coding● Posting of payments on patient accounts (EOB)● Personal injury and Workers Compensation cases● Follow up on unpaid and denied claims● Processing of electronic and paper claims
Frequently Asked Questions about Stela Ejova
What company does Stela Ejova work for?
Stela Ejova works for Phoenix Credentialing
What is Stela Ejova's role at the current company?
Stela Ejova's current role is Credentialing Lead.
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