Description
SKILLS SUMMARY EXPERIENCE Responsible and accountable for departmental services. Serves as a liaison in ensuring Medical Staff applications, appointments, privileges, credentialing, and administrative support services for the medical staff, and appropriate health professionals are coordinated in a thorough, accurate and timely manner. Ensures that minutes accurately reflect discussions and actions taken in associated medical staff meetings. Applies the principles of continuous quality improvement in delivery of services, through assessment and monitoring of medical staff office services, processes and systems analyzes trends and implements change as required. Ensures the confidentiality of the medical staff committee records, are maintained at all times. Oversees administrative schedules, medical staff meetings, assists medical staff officers in complying with provisions of the Medical Staff Bylaws, Rules and Regulations. Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards, The Joint Commission, legal and all regulatory and accrediting agency standards. Interprets, explains and follows all regulatory guidelines, including medical staff bylaws, fair hearing plan, rules and regulations and policies. Oversees the coordination and ongoing evaluation of the new physician orientation program. Accountable for assisting and consulting all Joint Commission accredited facilities Worked with Acadia medical staff services liaisons on state specific and Joint Commission concerns. Created Webinars and on-site training for education on physician and facility credentialing compliance. Oversight responsibility for the management of compliance hotline calls within all Acadia US facilities. Interfaced with other Acadia departments such as Contracting, Business Office, Physician Services and Compliance of physician credentials in order to generate facility revenue. Accountable for and managed and accountable all recruitment, credentialing and on-boarding of facility physicians and allied health professionals. Accountable for the oversight and management of facility communication (reception) staff. Maintains Medical Staff Bylaws, Joint Commission and CMS Regulations to ensure regulatory compliance. Maintained the credentialing function through Midas Credentialing Software. Maintained OPPE, FPPE, audits and quality data for physician quality compliance. Contract management for all physicians, clinical and non-clinical contracts for the facility. Patient Advocate for hospital to ensure patient is assisted through the complicated processes. Accountable for all credentialing of physicians, allied health professionals, fellows and administrator of the Echo Credentialing System. Responsible for overseeing and coordinating credentialing process for a major teaching hospital and management of staff. Assured compliance with regulatory and accrediting organizations. Assist Provider Enrollment Department to ensure a timely and seamless process. Handle all administrative duties to the Chief Medical Officer. Record, transcribe and maintain all minutes of all medical staff meetings. Assist with the preparation of materials, agenda notes, handouts, etc. as directed. Credentialing of Hospitalist, Intensivist and Allied Health Professionals for the the West Business Region. Screening Physicians and Allied Health Professionals for employment. Daily multi-tasking several markets and providers on credentialing deadlines. Assisting physicians on receiving medical licensing, DEA, Visa and medical malpractice insurance. Assisting Athena with Provider Enrollment to Hospitalist, Intensivist and Allied Health Professionals. Credentialing of Allied Health Professionals and Allied Health Caregivers. Verifications for other facilities and re-appointments for St. Anthony's Medical Center Physicians and Allied Health Professionals. Overseeing the On-boarding process of Residence, Fellows and Medical Students. Meeting minutes and ordering of supplies. Day to day request of Physicians on medical staff questions and concerns. Handle all administrative duties to the Director of a Behavioral Health System. Assist Director in scheduling, Kronos and day to day issues with the Call Team and Receptionist Personnel. Record, transcribe and maintain all minutes of meetings. Assist with the preparation of materials, agenda notes, handouts, etc. as directed. Develop and prepare monthly statistical budget reports. Responsible for maintaining all Quality Improvement data and reports Responsible and accountable for processing and quality of all admissions, benefit verification and insurance/medical billing. Collections of deductibles, co-pays and insurance collection follow-up. Coordinated payment activities with Utilization Management. Administrated direct patient care as assigned and performed other nurse's aide duties under the direct supervision of a professional nurse. Lead non-medical groups to promote social interaction. Received phone calls for nursing personnel and relayed message to appropriate staff or patient. Assembled charts for new patients and transcribed physician orders. Investigated patient account inquiries and answered customer service questions for approximately 65 calls daily. Communicated with insurance companies concerning payments and insurance verification. Coordinated payment arrangements and informed patients of options and general questions on infertility treatment. Performed same task as above (see August 1998 - September 2000) with the exception of working directly with Chemical Dependent and Substance Abuse population. Prepared diet plans and menus for special need patients. Assisted cook in preparing food trays for patients. Researched legal issues and cases and reported findings to attorneys. Prepared legal documents and settlement brochures. Assisted two attorneys in court preparation. Responsible and accountable for departmental services. Serves as a liaison in ensuring Medical Staff applications appointments privileges credentialing and administrative support services for the medical staff and appropriate health professionals are coordinated in a thorough accurate and timely manner. Ensures that minutes accurately reflect discussions and actions taken in associated medical staff meetings. Applies the principles of continuous quality improvement in delivery of services through assessment and monitoring of medical staff office services processes and systems analyzes trends and implements change as required. Ensures the confidentiality of the medical staff committee records are maintained at all times. Oversees administrative schedules medical staff meetings assists medical staff officers in complying with provisions of the Medical Staff Bylaws Rules and Regulations. Ensures Medical Staff Office and credentialing program is in compliance with Medical Staff standards The Joint Commission legal and all regulatory and accrediting agency standards. Interprets explains and follows all regulatory guidelines including medical staff bylaws fair hearing plan rules and regulations and policies. Oversees the coordination and ongoing evaluation of the new physician orientation program. Accountable for assisting and consulting all Joint Commission accredited facilities Worked with Acadia medical staff services liaisons on state specific and Joint Commission concerns. Created Webinars and on-site training for education on physician and facility credentialing compliance. Oversight responsibility for the management of compliance hotline calls within all Acadia US facilities. Interfaced with other Acadia departments such as Contracting Business Office Physician Services and Compliance of physician credentials in order to generate facility revenue. Accountable for and managed and accountable all recruitment credentialing and on-boarding of facility physicians and allied health professionals. Accountable for the oversight and management of facility communication (reception) staff. Maintains Medical Staff Bylaws Joint Commission and CMS Regulations to ensure regulatory compliance. Maintained the credentialing function through Midas Credentialing Software. Maintained OPPE FPPE audits and quality data for physician quality compliance. Contract management for all physicians clinical and non-clinical contracts for the facility. Patient Advocate for hospital to ensure patient is assisted through the complicated processes. Accountable for all credentialing of physicians allied health professionals fellows and administrator of the Echo Credentialing System. Responsible for overseeing and coordinating credentialing process for a major teaching hospital and management of staff. Assured compliance with regulatory and accrediting organizations. Assist Provider Enrollment Department to ensure a timely and seamless process. Handle all administrative duties to the Chief Medical Officer. Record transcribe and maintain all minutes of all medical staff meetings. Assist with the preparation of materials agenda notes handouts etc. as directed.
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