Experience

PerformCare®

• United States
• Mental Health Care
• 1 - 100 Employee

• Quality Performance Specialist

  • Nov 2018 - Present

  Responsible for providing technical assistance, oversight of day to day operations of the credentialing and re-credentialing functions to ensure that providers meet all state, federal, NCQA and contract requirements. Prepares, organizes and facilitates the Credentialing Committee meetings and minutes to ensure compliance with all state, federal, NCQA and company Policy & Procedure requirements. Responsible for providing leadership and monitoring of NCQA compliance to ensure that PerformCare successfully meets the standards to maintain accreditation. Responsible for providing administrative support to the Quality of Care Council including tracking referrals, reviewing letters and assisting with reporting. Show less

• Senior Credentialing Coordinator

  • Jun 2008 - Nov 2018

  Responsible for providing technical assistance, oversight of day to day operations of the credentialing and re-credentialing functions and assisting in the supervision of the Credentialing staff under the guidance of the Director of Quality Improvement. Oversees all aspects of the credentialing and re-credentialing process to ensure that providers meet all state, federal, NCQA and contract requirements. Prepares, organizes and facilitates the Credentialing Committee meetings and minutes to ensure compliance with all state, federal, NCQA and company Policy & Procedure requirements. Develops and implements recommendations for new procedures to improve workflow/processes, ensures proper documentation of credentialing processes and instructs personnel regarding them. Provides leadership and management to the Credentialing Technicians. Collaborates with competent subject matter experts to ensure prompt and professional handling of all credentialing related issues. Serves as subject matter expert on internal workgroups and external committees that require credentialing input. Show less



WellSpan Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Medicare Biller II

  • May 2006 - Jun 2008