• Kirkwood Community College, Medical Terminology 1995
• Advanced Credentialing, El Centro College 2010
• Medical Staff Services Administration, El Centro College 2010
• Ensures adherence to accreditation standards such as the National Committee for Quality Assurance (NCQA), The Joint Commission (TJC),and the Center for Medicare/Medicaid (CMS).
• Advises regarding policies and procedures for the CSO and UIHC.
• Serves as liaison for Critical Access Hospitals and conducts on-site audits.
• Prepares budget projections; manages daily operating expenses; reviews/balances monthly statements.
• Develops, implements, and maintains delegated credentialing agreements with managed care payers.
• Spearheads special projects for the CSO that involve internal and external entities.
Achievements during UI Career:
I started in the CSO in January 1997, one month after the CSO opened. Credentialing was purely hands-on at that point, while the office crafted the first set of credentialing policies/procedures. The initial urgent effort was to process 900+ applications in 9 months! After that a more manageable rolling cycle was structured. The CSO has since assumed expanded duties, including the operation of a large tracking data system, the management of UIHC’s privileging process, and the contracting of external clients.
Other successes are:
• Iowa Association of Medical Staff Services (IAMSS) member since 1998
• National Association of Medical Staff Services(NAMSS) member 2002
• Certified Provider Credentialing Specialist (CPCS) since 2000
• Certified Professional in Medical Services Management (CPMSM) since 2011
• Institutional Leadership Development Program Graduate 2003
• Consultant for CCN for item writing and test assembly for CPCS and CPMSM certifications
• Iowa Credentialing Coalition (ICC) member
Special Interests & Activities:
• Enjoy friends and family, including our new granddaughter, golfing, cross stitch embroidery, and reading.
When asked, “What inspires you?”
“The quality of patient care by vetted practitioners, adherence to standards for continued Medicare/Medicaid funding, lessening the risk for negligent credentialing by following protocols, and delegated credentialing contracts that expedite revenue 30-90 days faster than direct contracts.”