Traci Chaudoin Taylor, Cpmsm, Cpcs, Pesc Email & Phone Number

Lincoln Ri Remote

 Supervised and directed all operational credentialing functions  Developed/implemented/modified policies and procedures in accordance with NCQA and HRSA standards Developed best practice documentation and implementation plans Managed and trained staff including client workflow and problem resolution  Identified issues, coordinated resolution, and monitored events to determine educational opportunities Provided exemplary customer service to clients including meeting management, reporting, and account auditing and management. Supervised the new client Implementation process, including data exchange, project timeline management. Provided technical expertise to sales staff Managed credentialing software database, determined how the system is utilized and provided training Manages the strategic plan for including company growth and decline. Acted as a point person for credentialing and provider enrollment for Account Managers and Support Staff Performed SWOT analysis for all client accounts and provided feedback to Account Managers

Waco, Texas, United States

 Coordinated the process of credentialing and privileging of the medical, dental, and professional staff  Overseen Provider Enrollment with Insurance Payers Supervised the day-to-day operations of assigned staff, including but not limited to monitoring workload, operational productivity and performance, and management of procedures and workflows Developed procedures for credentialing to maintain compliance with FTCA Policy Information Notices (PIN) Monitored and evaluated the Center’s relevant privileging and credentialing policies and procedures Conducted or assisted with the investigation and appropriate reporting of adverse or incomplete information in credentialing applications Reviewed credentialing and privileging applications and other documents for completeness and initiated verification of all information Functioned as liaison and facilitated the review of contracts by insurance payers with the Chief Operating Officer and Director of Billing Set up and maintained provider information in credentialing databases and systems Tracked license and certification expiration for all providers to ensure timely renewals Coordinated with Director of Nursing and Employee Health Nurse to ensure compliance with the credentialing policy based on healthcare regulations to ensure patient safety and risk management Identified root causes for problems in provider enrollment workflow Point of contact for HRSA/FTCA on site visits (OSV) regarding credentialing/privileging  Performed Quality Assurance audit of work completed by credentialing staff Supported and trained credentialing staff  Researched benchmark and industry standards to establish goals for the department and reporting to leadership  Attested for Meaningful Use, reconciled payments received, worked with auditors for post payment audits

Waco, Texas, United States

Instructed a CE course on QuickBooks and basic accounting principles

Waco, Texas, United States

 Supervised Bookkeeper and lead process improvement projects Prepared monthly financial statements for HomeCare, Providence Park, and Volunteer Services Reported monthly with CFO, Controller, and Director for analytical review of financial statements Prepared financial narrative for Homecare division Accounted for capital assets (managed depreciation, additions and disposals, annual reconciliation and audit) Posted accruals, allocations and reviewed fringe benefits Prepared Federal Income Tax forms 990 for PHSW, PHA, PF as well as 990T for DME Prepared annual budget for depreciation and fringe benefits, Volunteer Services, and HomeCare Reconciled all balance sheet accounts for preformed analysis on income statement accounts

Waco, Texas, United States

 Prepared monthly financial statement for Hillcrest Physician Services (Meditech & Excel) Reviewed expenses for Hillcrest Baptist Medical Center Prepared quarterly bench marketing reports for Action OI Data Collection  Prepared Annual American Hospital Assoc. Survey for Dept of State Health Services Reconciled Medicaid Tile Prepared bad debt worksheets and adjustments Prepared monthly ratios and statistical reports) Responsible for Hillcrest Physician Services (HPS) – coding of A/P, prepaid expenses, adjustments, and budget allocations Managed Vendor Profiles