Summary
Overview
Work History
Education
Skills
Timeline
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Summer Davis

Knoxville

Summary

Detail-oriented and results-driven Credentialing Expert with 5 years of progressive experience in healthcare credentialing, provider enrollment, and compliance. Proven leadership in supervising credentialing teams and managing operations as an Interim Manager. Adept at streamlining credentialing processes, ensuring regulatory compliance, and building strong relationships with healthcare providers and regulatory bodies. Known for delivering high-quality results in fast-paced environments.

Overview

6
6
years of professional experience

Work History

Credentialing Supervisor/Interim Manager

TeleSpecialists, LLC
06.2022 - Current
  • Managed credentialing and recredentialing processes for over 150 healthcare providers across multiple specialties.
  • Ensured compliance with NCQA and JCAHO standards by maintaining accurate and up-to-date provider records.
  • Led day-to-day operations of the credentialing department, ensuring timely and accurate provider onboarding and re-credentialing processes.
  • Streamlined credentialing workflows by implementing process improvements, reducing application turnaround time by 50%.
  • Managed a team of credentialing specialists, providing training, support, and performance feedback to meet departmental KPIs.
  • Collaborated cross-functionally with medical staff, HR, and compliance teams to ensure data integrity and smooth integration of new providers.
  • Monitored expirables and credentialing timelines using DOMO & Salesforce, maintaining up-to-date provider records.
  • Created and updated policies and procedures to align with changing regulatory standards and best practices.

Credentialing Coordinator

TeleSpecialists, LLC
08.2020 - 06.2022
  • Processed and submitted initial and reappointment applications for healthcare providers.
  • Reviewed provider credentials and documents for accuracy and compliance with organization and regulatory standards.
  • Served as a delegate for physicians in submitting initial and re-applications requesting hospital privileges.
  • Assisted with the onboarding process, ensuring all documentation was submitted to the proper MSOs.
  • Ensured departmental guidelines were followed to support all credentialing policies and procedures.
  • Made sure leadership was aware of any potential derogatory issues identified during the credentialing process and would work in collaboration with the practitioner to document/resolve the issue

Healthcare Administrative Intern

Mayo Clinic Hospital
01.2019 - 05.2019
  • Created and collected visual data aids to present to senior leadership.
  • Facilitated weekly team meetings, taking minutes and coordinating follow-ups on action items.
  • Shadowed healthcare administrators and department heads to gain hands-on knowledge of hospital governance and operations.
  • Imputed data entry into specialized productivity tools, creating employee performance dashboards.
  • Managed calendars, appointments, and meetings for executives and senior staff.

Education

Bachelor of Science - Health Services Administration

University of Central Florida
Orlando, FL
05-2019

Skills

  • Accreditation standards
  • Management collaboration
  • Quality assurance
  • Effective communication
  • Adaptability and flexibility
  • Complex Problem-solving
  • Staff development and training
  • Performance management
  • Strategic planning
  • Time management abilities

Timeline

Credentialing Supervisor/Interim Manager

TeleSpecialists, LLC
06.2022 - Current

Credentialing Coordinator

TeleSpecialists, LLC
08.2020 - 06.2022

Healthcare Administrative Intern

Mayo Clinic Hospital
01.2019 - 05.2019

Bachelor of Science - Health Services Administration

University of Central Florida

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Summer Davis