Kathleen Helps, CPCS
Privileging Specialist at North American Partners in Anesthesia- Claim this Profile
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Bio
Experience
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North American Partners in Anesthesia
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United States
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Hospitals and Health Care
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700 & Above Employee
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Privileging Specialist
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Mar 2023 - Present
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Steward Health Care
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United States
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Hospitals and Health Care
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700 & Above Employee
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Quality Assurance Credentialing Auditor
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Jan 2019 - Mar 2023
Completes initial and ongoing quality audits of Reappointment Credentialing Team of 10 Coordinators, while providing constructive feedback and education to individual associates. Monitors and maintains performance and productivity reporting of all Reappointment Credentialing Coordinators. Audits 100% of recredentialing files submitted by Coordinators to ensure compliance with relevant accreditation and regulatory standards and internal policies and procedures. Audits and maintains data entry in Credentialing database. Analyze credentialing files for completeness of verifications, accuracy, consistency, gaps in work history, relevant references, etc. Identify issues and initiate further data collection as needed. Track and trend audit findings and administer appropriate staff education and coaching. Review and maintain all audit tools to comply with NCQA, TJC and CMS requirements. Coordinates the credentialing and recredentialing process for assigned providers. Verify all credentialing elements, including but not limited to, education, training, board certification, work history, licensure and certifications, malpractice coverage through a variety of primary sources as appropriate per NCQA, TJC & CMS standards. Enters data accurately and completely in the credentialing software. Assist in the formulation of staff training guides, policies, and procedures, understand and interpret policies and regulations. Assists Reappointment Credentialing Manager, functioning in a supervisor role. Show less
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Holy Family Hospital
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Manager, Medical Staff Services
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Apr 2015 - Dec 2018
Responsible for all Initial and Reappointment Credentialing Medical Staff as required by regulatory agencies. Coordinates all responsibilities of the Medical Staff office. Initiates action to evaluate and ensure compliance with various regulatory agencies. Coordinates functions and meetings at the request of the Chief Medical Officer or Medical Staff Officers. Responsible for the preparation of operational budget for the medical staff office. Maintains and administratively supports the Medical Staff Association Bank Account and expenses. Supervises the Medical Staff Secretary and Medical Staff Coordinator. Responsible for the administrative duties of the Medical Executive Committee, Credentialing Committee. Directs and coordinates all activities and functions of the Medical Staff of the hospital. Show less
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Executive Assistant
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Feb 2012 - Mar 2015
Maintains and manages calendar and professional schedule of the CEO / President, Chief Medical Officer, Director of Nursing Operations, Chief Nursing Office/Chief Operations Officer. Arranges group and individual meetings with institution officials, employees from all levels in the organization, consultants, vendors, etc. Maintains and manages conference room scheduling and reservation for entire facility. Assist in the preparation of presentation materials. Independently manages various administrative projects Maintain a high level of confidentiality. Wrote and distributed Board of Directors, Leadership meeting minutes. Processes travel expenses and reimbursement requests. Principal clerical and administrative support position in the Hospital Administration Office. Handles sensitive and confidential material for all departments of the Hospital. Familiar with all aspects of the secretarial and clerical functions of the entire Administration Office. Maintains office organization and supply. Show less
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Senior Buyer
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May 2002 - Feb 2012
Process all approved Purchase Requisitions for all hospital departments, clinical and non-clinical, on a daily basis. Including all RGA’s for defective, mis-shipped and damaged goods. Meet with vendors on a weekly basis to discuss current contracts, orders and schedules. Including lease contracts with Xerox to maintain all office copy machine maintenance. Maintain Meditech Materials Management Database Platform including new items and building new vendors, updating and revising Item and Vendor Dictionaries. Assist in training and supervising of materials management staff including receiver and par level coordinators. Assist with maintaining inventory control for the main central storeroom of approximately $125k of physical inventory. Perform annual physical inventory for entire facility. Provide cost analysis and budget reporting for department directors on an as needed basis. Including monthly and yearly department inventory reporting. Maintain 90% contract compliance with national GPO. Managing product conversions for inventory purposes. Surgical Services Including: Consignment inventory and supply. Process RGA’s for all surgical instrument repairs. Maintain a detailed log for tracking all repairs. Office administration duties including: Process payroll for four full time employees. Coverage for director and staff during vacation and seminar meetings. Maintain appointment calendar for materials management director. Show less
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Regional Credit Representative
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Jan 1998 - May 2002
Collected delinquent invoices for Medical Imaging Service and Distribution Service from customer base accounts payable and purchasing department. Responsible for approximately a $5 million dollar aging from the New England to Mid Atlantic regions. Customer relations including: Pricing discrepancies, Proof of Deliveries and credit issues. Maintained monthly spreadsheets of detail cost center reports using Microsoft Access Database. Collected delinquent invoices for Medical Imaging Service and Distribution Service from customer base accounts payable and purchasing department. Responsible for approximately a $5 million dollar aging from the New England to Mid Atlantic regions. Customer relations including: Pricing discrepancies, Proof of Deliveries and credit issues. Maintained monthly spreadsheets of detail cost center reports using Microsoft Access Database.
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Education
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University of Massachusetts, Amherst
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Foxboro High School