Kylie Eatherton

Experience

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  Faith Regional Health Services

  Aug 2010 - Mar 2011

  Certified Nurse Aide
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  Avera Majestic Bluffs

  Aug 2012 - Jul 2014

  Household Coordinator
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  Youth and Family Services

  Jul 2014 - Mar 2016

  Teacher
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  Monument Health

  Jul 2016 - now

   Directly oversee and maintain involvement in Medical Staff Services, including credentialing, privileging, and compliance with regulatory standards. Collaborate with the Medical Staff Department to ensure seamless integration of enrollment processes with credentialing and privileging workflows. Support and guide the credentialing team to maintain accreditation standards and ensure timely provider onboarding across a health system of five hospitals and 1200 providers. Lead initiatives to enhance operational efficiency and compliance across both payer enrollment and medical staff services. Continually build, optimize, and audit credentialing software. Show less  Executed credentialing and privileging processes for medical staff, ensuring accuracy and compliance with industry standards.  Assisted in creating training resources and procedural updates to support team and organizational growth.  Developed and maintained credentialing software, enhancing operational efficiency and user experience.  Provided training and orientation to staff on database management, credentialing policies, and procedural updates.  Produced detailed reports for internal leadership and external regulatory bodies, supporting compliance and decision-making.  Built and maintained credentialing, privileging, enrollment, and quality workflows. Performed credentialing and re-credentialing process per NCQA, TJC, URAC, and CMS accreditation standards. Show less

  • Manager Payor Enrollment (Medical Staff Services and Managed Care)

    Jan 2022 - now

  • Medical Services Professional (Medical Staff Services)

    Mar 2018 - Jan 2022

  • Support Specialist II

    Jul 2016 - Mar 2018