Experience

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  Westmoreland regional hospital

  Jan 2010 - May 2010

  Cardiac rehabilitation intern

  • Worked in the cardiovascular rehabilitation department assisting exercise physiologists• Worked with registered nurses in both the inpatient and outpatient rotation • Monitored heart rhythms of patients exercising, watching for signs of atrial fibrillation, ventricular tachycardia, paroxysmal supraventricular tachycardia (PSVT), and heart block• Monitored and recorded heart rate, oxygen levels, and blood pressure of patients during exercise • Observed stress and ECG testing• Ability and knowledge necessary to read and write exercise prescriptions• Applied leads on patients who are exercising in the outpatient facilities• Educated patients who suffered heart attacks, received stents, and had open heart surgery on what to expect upon returning home• Helped patients who went through Coronary Artery Bypass Graph (CABG) with walking and cardiovascular exercises• Extensive knowledge of the cardiovascular system• Learned valuable information pertaining to how to keep the heart healthy• Developed strong interpersonal communication skills Show less

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  Ymca of greater pittsburgh

  May 2010 - Aug 2010

  Camp counselor

  • Responsible for working with inner city children who suffer from cognitive and behavioral disorders• Created outdoor games in order to guide children towards a safe and active lifestyle• Taught children how to focus their attention on making proper decisions at a young age

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  Bally total fitness

  Jun 2011 - Nov 2011

  Operations manager

  • Managed six front desk and retail store employees on a daily basis• Increased revenue of the retail store by 215% over three month period• Performed everyday tasks such as daily reports, employee scheduling, and delinquent account management• Displayed exceptional customer service to all members while helping them with account problems and questions• Ordered, counted and managed retail store inventory• Developed outstanding rapport with employee’s and members

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  Cross country medical staffing network

  Nov 2011 - Dec 2012

  Credentialing specialist, team lead

  ·Managed a team of 15 credentialing specialists; completed evaluations and made recommendations to leadership pertaining to each staff members success in their role·Complied with Joint Commission guidelines for initial and recredentialing processes·Served as the liaison with 20 different Medical Staffing Network locations across the country·Coordinated weekly meetings with various branches in order to review business operations·Activated or terminated all nurses in the Medical Staffing Network system·Transitioned all new branches that were on boarding to our centralized credentialing department Show less

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  Mednax, national medical group

  Dec 2012 - Mar 2016

  Supervisor credentialing

  ·Managed a team of 10 Credentialing Representatives; provided coaching, training, annual performance evaluations and promoted a team building environment·Supervised credentialing and recredentialing activities to ensure accuracy and compliance with established NCQA standards and credentialing policies·Managed the credentialing process of acquisition groups that require significant interdepartmental collaboration with various levels of management from inception to completion·Reviewed and approved more than 200 files monthly, including Intellicred data integrity, prior to submission to the Credentialing Committee members; files requiring escalation need to be reviewed by department leadership at the time the issue is identified to avoid start date delays·Created and implemented standard operation procedures for initial credentialing, recredentialing and delegated credentialing processes·Recredentialed approximately 1700 practitioners annually·Department lead for companywide Intellicred database implementation and migration from OnBase/WorkView·Attended weekly executive meetings to report progress with pending acquisitions·Presented not clean files to Credentials Committee per NCQA guidelines·Established priorities on a daily basis for staff to ensure that provider target start dates are met for acquisitions, new hires and recredentialing·Monitored National Practitioner Data Bank (NPDB) continuous query disclosures and prepared them for Vice President review·Assessed and determined proper escalation protocol for background, NPDB and medical licensure disclosures·Created cross departmental processes for streamline completion of acquisitions pre and post close·Prepared and reviewed files for delegated credentialing audits with NCQA and health plans·Provided onsite Intellicred Superuser training at regional practices·Presented new initiatives to elevate provider issues regarding CAQH and to improve data integrity within Intellicred Show less

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  Health care service corporation

  Apr 2016 - Sept 2016

  Supervisor credentialing operations

  ·Interpreted daily, monthly and weekly file production reports for the credentialing team and analyze actual output versus the expected output.·Reviewed performance metrics and identify areas of opportunity for credentialing team and discussed on an individual by-weekly basis·Processed more than 3,000 files on a monthly basis with a minimum 97% compliance rate·Collaborated and strategized with leadership team to implement a more effective credentialing process that rely on individual team members areas of expertise·Maintained compliance with NCQA, URAC, CMS and all state and federal regulations for initial and recredentialing processes·Aggressively monitored productivity, quality and turnaround time goals for each team member Show less

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  Amn healthcare

  Sept 2016 - Oct 2017

  Supervisor credentialing

  ·Managed the credentialing process for traveling Allied health professionals across all states maintaining compliance with the Joint Commission and NCQA guidelines·Successfully managed a staff of 22 credentialing analysis who continually met monthly performance metrics leading to team and supervisor bonuses·Fostered a culture of understanding and trust to achieve a positive working environment·Created monthly incentives utilizing games that are tied to productivity metrics·Performed individualized meetings with direct reports utilizing motivational surveys and questionnaires to establish our approach for goal achievement·Maintained productivity and quality metric reports for each staff member and meet at regular intervals with staff to discuss and provide feedback·Analyzed, researched and responded to escalations that have occurred during the credentialing process·In collaboration with the manager, interviewed prospective employees and coordinated department orientation to ensure a thorough overview of the policies are reviewed Show less

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  Us anesthesia partners

  Oct 2017 - now

  National credentialing director

  Manage the credentialing process for multiple states in compliance with NCQA guidelinesSuccessfully manage remote employees in different states and time zones while maintaining the expectation of exceptional customer service and productivity