April S.
Credentialing and Enrollment Specialists
- Role
- Credentialing and Enrollment Specialists at ProMedica
- Location
- Toledo, OH, US
- LinkedIn followers
- 500 followers
About April S.
Working in a variety of industries, I have gained professional experience along with valuable life skills.10 years of management experience with the ability, drive and determination to prioritize strategic initiatives and projects effectively. Strong Team Building, Communication, Leadership, and Organizational skills.
Experience
Credentialing and Enrollment Specialists
Jul 2017 — Present · Toledo, OH, US
Work in the Central Verificaiton Office (CVO)- Process both initial credentialing and re-credentialing applications for all of ProMedica\'s Hospitals in Michigan and Ohio. Work with the Medical Staff Office (MSO) to ensure providers provide high quality service and patient safety. Compliance of rigorous standards ins processing l applications according to The Joint Commission. Completing applications in a timely manner in order for the MSO to present completed applications to the MEC and Board reviews for delineation of clinical privilegesVerification of professional and academic degrees, clinical training, licensures, residency or training certificates, continuing education credits, professional peer reviews, insuranceAlso help with payer enrollment for ProMedica Physicians Group- requesting providers participation in health insurance networks. Organize and process the provider billing application.Work with MD-Staff, Visual CACTUS Software, Web Cactus, Global HR Research
Education
Promedica University
Microsoft, Excel, Word, Powerpoint
2011 — 2014
Sylvania Northview High School
Diploma, General
1985 — 1989
Spring Arbor University
BACHELOR OF SCIENCE, BUSINESS
2012 — 2014
Spring Arbor University
Master of Business Administration - MBA, Business Administration and Management
2015 — 2016
Tennyson Secondary School
GCSE, General
1986 — 1987
Davis College
Associate Degree, Business Management
1993 — 1995
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