SUMMARY:

Experienced Manager with focus on both project and personnel supervision and ten years in the Healthcare arena. Core areas of expertise include developing creative solutions to problems, building and maintaining relationships, and conceptualizing effective strategies. Trustworthy and hard - working performer committed to highest quality and ethical standards.

PROFESSIONAL EXPERIENCE:

Confidential, Conshohocken, PA

QA Manager

Responsibilities:

• Created a Quality program from scratch for a department that had no previous QA experience
• Successfully revamped entire departmental Policies and Procedures manual
• Created a training manual to standardize staff training
• Assisted in roll-out of departmental restructuring
• Consulted on solutions to problems with potential life-threatening ramifications

Confidential, Sewell, NJ

Accreditation Coordinator

Responsibilities:

• Successfully underwent two on-site surveys from The Joint Commission in 2005.
• Led company to Accredited status with The Joint Commission.
• Led Insurance Division to Accredited status in first two months with company.
• Presented and trained on standards for groups as large as 80 people.
• Performed on-site quality audits of nationwide delivery representative network.
• Served as Chair of the Performance Improvement Committee
• Active participant of Health and Safety Committee and Compliance Committee

Confidential, Philadelphia, PA

Coordinator

Responsibilities:

• Smoothly guided physician group through dissolution process with little help or supervision from senior company management.
• Revamped policies and procedures annually to allow for more accurate and efficient processes and to adjust for changing regulations.
• Directed department with staff reduced from seven to two employees.
• Received multiple accolades for consistent quality of credentialing files.
• Drastically reduced employee turnover by developing employee satisfaction.

Confidential, Philadelphia, PA

Coordinator/ Credentials

Responsibilities:

• Reduced average file turnaround time from 300 days to 90 in six months.
• Streamlined policies and procedures to eliminate extraneous activity and speed up processing.
• Reconciled relationships with hospital medical staff offices through improved customer service and file turnaround time.
• Trained employees to improve communication with clients.
• Guided integration of department into hospitals.
• Assured compliance with changing standards of regulating bodies.

Confidential, Philadelphia, PA

Team Leader

Responsibilities:

• Dramatically increased quality of specialists’ work through daily monitoring of files.
• Received excellent marks in internal audits of files.
• Developed trust and respect form peers after promotion to supervisor through demonstrated knowledge.
• Promoted again within six months.

Confidential, Philadelphia, PA

Credentialing Specialist

Responsibilities:

• Team completed over 1000 files in three months in order to bring company back into compliance with regulating body.
• Learned guidelines for regulating body in four months
• Cultivated trust with co-workers resulting in a team atmosphere.