Amy Copeland
Knoxville
Summary
Professional with robust background in medical staff credentialing, adept at ensuring compliance with regulations and maintaining up-to-date records. Strong focus on team collaboration and delivering results, adaptable to changing needs. Skilled in credentialing software, regulatory standards, and process improvement. Reliable and efficient, known for excellent communication and organizational abilities.
Overview
28
28
years of professional experience
Work History
Medical Staff Credentialing Coordinator
East Tennessee Children's Hospital
06.2020 - Current
- Coordinated credentialing processes for healthcare providers, ensuring compliance with regulatory standards.
- Managed documentation and verification of practitioner qualifications to support efficient onboarding.
- Utilized credentialing software to streamline data entry and maintain accurate records.
- Collaborated with medical staff to resolve discrepancies in credentialing documents effectively.
- Assisted in developing policies and procedures for credentialing workflows, enhancing operational efficiency.
- Provided training to new team members on credentialing protocols and system usage.
- Facilitated communication between departments regarding credentialing status and requirements for practitioners.
- Developed constructive relationships with medical staff members, promoting a supportive and collaborative environment.
- Ensured compliance with regulatory standards by regularly updating and maintaining physician credentials files.
- Coordinated with various departments to obtain necessary documentation for credentialing processes, promoting seamless collaboration.
- Provided exceptional customer service to physicians during the application process, addressing concerns promptly and professionally.
- Collaborated with medical staff leadership to facilitate timely credentialing decisions, improving overall hospital operations.
- Managed the reappointment process for medical staff members, ensuring continuity of care for patients.
- Maintained confidentiality of sensitive information while handling large volumes of physician applications and records.
- Stayed current with industry trends and regulations through regular participation in relevant workshops and webinars, enhancing overall competency as a Medical Staff Credentialing Coordinator.
- Conducted thorough primary source verifications, ensuring accuracy and validity of physician qualifications.
- Prepared comprehensive reports for presentation at Medical Staff Committee meetings, demonstrating detailed knowledge of current credentialing matters.
- Monitored expiration dates on licenses, certifications, and insurance policies, proactively preventing lapses in coverage or compliance issues.
Health Unit Coordinator/Emergency Department Technician
ETCH Emergency Room
03.2006 - 06.2020
- Provided care for 34-patient unit, coordinating day-to-day hygiene, feeding and quality of life functions
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and patients for continued compliance with associated regulations
- Demonstrated strong commitment to quality care through continuous training and development
- Developed and maintained rapport with coworkers and hospital staff to facilitate efficient patient care
- Investigated, provided and submitted information to Quality Department about special incidents, events and complaints
- Instrumental in encouraging change in patient and staff education
Medical Assistant
ETCH Pediatric Pulmonology
04.2003 - 03.2006
- Infant Apnea clinic coordinator, Telephone triage
- Explained procedures to patients to reduce anxieties and increase patient cooperation
- Collected and documented patient medical information such as blood pressure and weight
Billing Clerk
ETCH Regional Billing Office
03.1999 - 04.2003
- Collections, Credentialing of specialist physicians
- Handled account payments and provided information regarding outstanding balances
- Managed invoicing and payment processing operations
- Monitored outstanding invoices and performed collections duties
- Coached new employees on administrative procedures, company policies and performance standards
- Handled past due accounts, including collections and status reports
- Maintained billing and payment processing for four Pediatric Specialist Offices
Receptionist
ETCH Children's Primary Care
04.1997 - 03.1999
- Insurance verification
- Completed skilled administrative work to support all office staff and operational requirements
- Organized paperwork such as charts and reports for office and patient needs
- Scheduled, rescheduled and handled cancelled appointments for patients
- Adeptly managed multi-line phone system and pleasantly greeted all patients
- Scheduled appointments for doctor visits and procedures using desktop calendar software
- Managed office logistics by scheduling appointments, maintaining files and collecting payments
Education
AAS - Medical Assisting
South College
Knoxville, TN2003
Skills
- Electronic medical record
- Process improvements
- Regulatory compliance
- Patient education
- Training and mentoring
- Relationship building and retention
- Patient education and counseling
- Employee orientation
- Teamwork/ Collaboration
- Healthcare regulations
- Confidentiality practices
- Policy enforcement
- Compliance monitoring
- Data management
- Accreditation standards
- Meeting facilitation
- Medical staff relations
- Credentialing processes
- Database maintenance
- Background checks
- Symplr expertise
Timeline
Medical Staff Credentialing Coordinator
East Tennessee Children's Hospital
06.2020 - Current
Health Unit Coordinator/Emergency Department Technician
ETCH Emergency Room
03.2006 - 06.2020
Medical Assistant
ETCH Pediatric Pulmonology
04.2003 - 03.2006
Billing Clerk
ETCH Regional Billing Office
03.1999 - 04.2003
Receptionist
ETCH Children's Primary Care
04.1997 - 03.1999
AAS - Medical Assisting
South College
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