Experience

FocusOne Business Services, LLC
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Senior Credentialing Specialist

  • Feb 2023 - Present


CFG Health Network

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Credentialing Team Lead-Profile Management/Echo Database Administrator

  • Aug 2011 - Jan 2023

  Managed credentialing database (ECHO OneApp) as administrator and facilitated collaboration/communication between medical affairs staff, providers and operation managers. Recommended solutions and ongoing innovation of credentialing systems by defining new processes, fields, functional capabilities, permission levels, reports and workflows. Mentored and trained PSV onboarding staff of medical affairs. Performed audit of provider profiles according to CFG policy and procedures and Joint Commission to ensure benchmarks and KPI's were met. Assisted in creation of internal provider re-credentialing process and audited re-credentialing data entry, documents and verifications for accuracy. Participated in team creation of and maintaining of documentation of current policies, procedures, best practices and expectations for medical affairs operations. Served as NPDB database administrator managing user access, monitored new reports uploaded through NPDB site and handled provider continuous query renewals. Obtained state medical licenses, controlled substance licenses and DEA certificates for providers of various disciplines. Show less



Virtua Health

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

• Credentialing Specialist II

  • Sep 2005 - Aug 2011

  Processed and tracked initial/reappointment applications for appointment and reappointment to Virtua Medical Staff. Provided customer support to medical providers regarding application status and privileging. Performed primary source verification on all providers to include education, licensure work history and malpractice claims history reporting any red flags/gaps to supervisor for further review. Evaluated and tracked leave of absence, resignation and increase in privilege requests. Ran monthly reports from credentialing database (Cactus) to identify expiring licensure and suspended physicians accordingly in order to maintain compliance. Participated in Credential Committee meetings during supervisor/manager absence. Show less