An individual who goes above and beyond basic administrative tasks and takes on multiple projects at once. Excellent work ethic and strength in boosting company morale.
Overview
27
27
years of professional experience
Work History
Regulatory Administration
Arkansas State Medical Board
Little Rock
10.2023 - Current
Processed physician complaints, corresponded with practitioners and complainants, and tracked deadlines using Excel to ensure timely resolution.
Enter National Practitioner Data Bank reports in the system
Managed and responded to regulatory emails to ensure compliance and timely communication.
Handled complaint calls and regulatory inquiries to facilitate compliance and address concerns effectively.
Prepared for Board and Committee meetings by organizing discussion packets, scheduling appearances, and coordinating communication with members, lawyers, and staff.
Coordinated meal orders for meetings by selecting appropriate catering options and ensuring timely delivery.
Board Trainer
Arkansas State Medical Board
Little Rock
07.2008 - 10.2023
Credentialing Specialist 2008-2012
Maintained and organized spreadsheets to track data.
Conducted training sessions to develop employee skills.
Organized and archived files for easy retrieval.
Excellent communication skills
Advanced Clerical Knowledge
Multi-line proficiency
MedSuite and MedSuite Manager
Working files for release to ordering facilities ensuring all applicable information is entered correctly and up to date. For example: all work history, any State Licenses, Malpractice Insurance, Federal DEA
Review files for accuracy and correction
Making any corrections noted at time of release
Assisted with the National Commission of Quality Assurance preparation, examining documents for accuracy
Audit files for release to ordering facilities and ensuring all NCQA requirements are met
Handling all customer service emails and phone calls
Resolving and forwarding all customer service tickets to appropriate department, analyzing and researching as deemed necessary
Credentialing and Support duties as needed, collecting information for physician's files such as, current license, DEAs, Attestations, current malpractice information, Primary Practice information, Hospital staff appointments, Employment, clarification of any time gaps in work history or employment and follow up and investigate any Physician Health Committee issues, DWI or Rehab/Health issues
Randomly total audit files for National Commission of Quality Assurance Compliancy. Review total audits with individual staff
Created and participated in Power Point presentations for CCVS workshop for clients.
Trains new and current staff on updating physician’s credentialing profiles, scanning organization Authorization and Release forms, attestations and Licensure Applications, requesting and updating current information
Licensure
Train and back-up for Data Entry Specialists
Entering verifications received for applicants received via fax, mail and email
Total auditing Pre-licensure files before they are forwarded to the licensure to department to ensure all information listed on the physician's application and Curriculum Vitae have been verified and entered, this would include all work history, hospital staff appointments, practice information, employment, faculty appointments, all state DEAs and Licenses have been verified and any gaps in work history have been accounted for
Meeting with staff to review corrections needed on licensure applications and files
Medical Coder
Steve Tilley,M.D.
Little Rock
02.1999 - 07.2008
Ordered and distributed office supplies while adhering to a fixed office budget.
Answered and managed incoming and outgoing calls while recording accurate messages.
Opened and properly distributed incoming mail.
Entering daily charge tickets and payments
Answering multi-line phone system
Assisting patients with billing and insurance issues
Scheduling appointments
Checking patients in and out and taking copayments
Education
Certification in Medical Coding - Medical Coding and Terminology
Baptist School of Allied Health
Little Rock, AR
01-1999
Skills
75 WPM typing speed
Professional phone etiquette
Customer service-oriented
Flexible
Accurate and detailed
Works well under pressure
Pleasant demeanor
Team building
PowerPoint
Microsoft Word
Microsoft Excel
Regulatory compliance
Credentialing procedures
Data entry management
Complaint resolution
Meeting coordination
File auditing
Multitasking Abilities
Teamwork and collaboration
Timeline
Regulatory Administration
Arkansas State Medical Board
10.2023 - Current
Board Trainer
Arkansas State Medical Board
07.2008 - 10.2023
Medical Coder
Steve Tilley,M.D.
02.1999 - 07.2008
Certification in Medical Coding - Medical Coding and Terminology