Tawnya Boadway
Credentialing Specialist at Galen Advisors- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
CPCS
NAMSS - National Association Medical Staff ServicesMar, 2015- Oct, 2024
Experience
-
Galen Advisors
-
United States
-
Hospitals and Health Care
-
1 - 100 Employee
-
Credentialing Specialist
-
Nov 2012 - Present
Assist Physicians, Nurse Practitioners, and Physicians Assistance with obtaining their Medical Licenses and Hospital privileges for a large (140 Providers) Medical Group. Also, responsible for credentialing several Ambulatory Surgical Centers with commercial and government payers. Assist Physicians, Nurse Practitioners, and Physicians Assistance with obtaining their Medical Licenses and Hospital privileges for a large (140 Providers) Medical Group. Also, responsible for credentialing several Ambulatory Surgical Centers with commercial and government payers.
-
-
-
Northside Hospital
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Reimbursement Supervisor
-
Sep 2009 - Oct 2012
Hire, retain, and evaluate staff of 23 Reimbursement Specialists. Monitor and troubleshoot payer issues, identify underpayment trends, establish production requirements. Also, responsible for Managing the credit balance report and issuance of refunds. Hire, retain, and evaluate staff of 23 Reimbursement Specialists. Monitor and troubleshoot payer issues, identify underpayment trends, establish production requirements. Also, responsible for Managing the credit balance report and issuance of refunds.
-
-
-
The Lung Centers Of Georgia
-
United States
-
Medical Practices
-
Office Manager
-
Feb 2007 - Sep 2009
Hire, retain, and evaluate staff of 6 employees, 3 physicians, and one Surgeon. Set office schedule, hospital call schedule, and patient schedules. Monitor all aspects of the revenue cycle, including contracting and credentialing. Hire, retain, and evaluate staff of 6 employees, 3 physicians, and one Surgeon. Set office schedule, hospital call schedule, and patient schedules. Monitor all aspects of the revenue cycle, including contracting and credentialing.
-
-
-
Norhside Hospital
-
United States
-
Medical Practices
-
1 - 100 Employee
-
Billing Supervisor
-
Apr 2006 - Jan 2007
Monitor all aspects of the ancillary claims billing cycle, monitor edits, and troubleshoot claims transmittal issues. Hire, retain, and evaluate staff of 23 Billing Specialists. Monitor all aspects of the ancillary claims billing cycle, monitor edits, and troubleshoot claims transmittal issues. Hire, retain, and evaluate staff of 23 Billing Specialists.
-
-
-
-
Customer Service Supervisor
-
Oct 2001 - Apr 2006
Call Center Monitoring, implemented paperless environment through scanning and indexing documents received in mail. Developing policies and procedures for patient education and account resolution. Hire, retain, and evaluate staff of eight employees. Call Center Monitoring, implemented paperless environment through scanning and indexing documents received in mail. Developing policies and procedures for patient education and account resolution. Hire, retain, and evaluate staff of eight employees.
-
-
-
Nationwide Credit, Inc.
-
Financial Services
-
100 - 200 Employee
-
Senior Client Services Manager
-
Feb 1997 - Oct 2001
Hire, retain, and evaluate staff of 25 employees. Department responsibilities include, monitoring call incoming client call volume, in a call center environment. Creating and mailing monthly A/R collection reports to fortune 500 clients. In addition, my duties included, Client visits to determine an underlying concerns, and working closely with information systems to map accounts into the collection systems in a manner that would allow custom reports to be made for our Clients. Goal oriented for account resolution and client satisfaction.
-
-
Education
-
Kennesaw State University
Bachelor of Arts (B.A.), Political Science and Government