Francesca

3/31/2012
Daytona Beach, FL

Position Desired

Credentialing
Daytona Beach, FL
Yes

Resume

Frances C. Beickert, MS


PROFESSIONAL PROFILE:

Dedicated professional with over 20 years¡¦ experience in health care administration. Able to effectively multi-task and resolution of administrative issues, excels in a detail-oriented, demanding work environment. Excellent customer relation skills, exceptional work ethic, highly organized, able to work independently as well as a team member in a multi-departmental setting.



„« Physician Credentialing
„« Managed Care Enrollments
„« Healthcare Consulting

„« Policy& Management
„« Quality Control & Assurance
„« State of Florida Notary Public

„« Word, Excel, Outlook
„« Customer Service
„« Morrisey Credentialing Program

PROFESSIONAL EXPERIENCE:

Florida Hospital Memorial Medical Center, Daytona Beach, Florida 2011
Medical Staff Coordinator
„« Processing appointment and reappointment physician applications; including inquiries into the NPDB, AMA, criminal background checks, state license, DEA, and Board certifications.
„« Maintenance of Morrisey web-based medical staff credentialing database.
„« Conversion of all credentialing processes associated with electronic files while maintaining minimal paper files.
„« Collection of all documents pertinent to the continuous credentialing process.

Halifax Health Medical Center, Daytona Beach, Florida 2006-2011
Physician Services/Credentials Specialist
„« Enrollments, credentialing, and re-enrollments of physicians into federal insurance plans and commercial managed care plans including Medicaid, Medicare, Tricare, Blue Cross Blue Shield of Florida, United Healthcare, Aetna, Florida Health Care Plans, Cigna, Quality Healthcare, PediCare, and Volusia Health Network.
„« Development and maintenance of a credentialing tracking system for ongoing monitoring of credential status.
„« Credential physicians into the CAQH national database, and maintenance of CAQH profiles.
„« Collection of documents pertinent to enrollments, credentialing and re-enrollments.
„« Conversion of enrollment, credentialing, re-enrollments and all processes into electronic files while maintaining minimal paper files.

Mercy Medical Center, Rockville Centre, New York (Catholic Health Services of Long Island) 2002-2006
Medical Staff Affairs, Reappointment / Credentialing Coordinator
„« Credentialing of Medical Staff: verifications of NYS license, Board Certifications, query of National Practitioners Data Bank, Office of Inspector General, Office of Professional Medical Conduct, and American Medical Association.
„« Maintain Medical Staff Management Program in conjunction with JCAHO regulations and the New York State Department of Health regulatory requirements in accordance with Medical Staff Bylaws and Rules and Regulations.
Frances C. Beickert, MS - page 2

Mercy Medical Center - continued
„« Development and implementation of policy regarding regulator...

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