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Frazier - Medical Credentialing Coordinator - Matthews, NC, USA

Kimberly Frazier

Matthews, NC, USA


Medical Credentialing Coordinator

Work History

Medical Credentialing Coordinator, Novant Health CVO

Novant Health

• Responsible for complete primary source verification of educational, training, employment, criminal background, AMA, NPDB, ECFMG (as applicable), licensure, affiliations, and specialization of 10-year malpractice claim history verifications of all initial and reappointment applications of all clinical providers, to include but not limited to physicians, physician assistants, nurse practitioners, RN's, LPN's, surgical techs, etc. Performed complete educational, work history and affiliation verifications from professional degree forward.
• Managed responsibilities for eight facilities in North Carolina, South Carolina, and Virginia for approximately 5,000 providers
• Selected to be member of the Quality Improvement Committee 2010

Medical Credentialing Coordinator

Novant Health

Managed Care Enrollment Coordinator

Novant Medical Group

• Responsible for all managed care enrollment and maintenance of 50 physician practices, amounting to approximately 260 providers (i.e., MD's, DO's, PA's, NP's, PT's, etc.)
• Processed and distributed weekly Provider Number and Group Number Spreadsheets
• Performed project management and development (NPI, CLIA, etc.)
• Completed strenuous NC Licensure application assistance for new providers
• Ensured NC State Privilege License was filed and notified and assisted new and existing providers
• Performed continuous follow-up with credentialing projects
• Communicated with Providers and Managed Care organizations regarding credentialing status
• Coordinated major NPI projects (NC Medicaid, SC Medicaid, and Commercial Payers) for over 260 providers
• Every two years, performed re-credentialing processing and maintenance
• Selected to serve as Credentialing Representative at monthly BCBS-NC meetings

Medical Administrative Assistant


• Provided Administrative Assistant support for seven orthopedic physicians/surgeons (Total Joint Replacement, General Orthopedics, Podiatry)
• Managed calendar maintenance, call coverage, all travel arrangements, depositions/narratives, patient appointments, PowerPoint presentations, abstracts and manuscripts, book chapters, maintenance of Physician's CV's, including CME tracking/documentation, board recertification registration

• Prepared information and handled arrangements for weekly Total Joint Replacement Conference
• Assisted with Fellowship Program
• Served as first back-up to the Executive Assistant (patient complaints, physician issues, etc.)

Senior Credentialing Specialist

The Sanger Clinic, PA

• Responsible for credentialing of all 63 physicians (Adult Cardiologists, Pediatric Cardiologists and Thoracic & Vascular Surgeons), 26 PA's, and 12 NP's, which included hospital appointments/ reappointments that included application completion, submission, follow-up and interview set-up, initial NC and SC state licensure application completion, follow-up, and interview set-up in the Mecklenburg County area (NC only), DEA/DHEC application completion/submission, managed care application completion, submission and follow-up (initial and re-credentialing), and Medicaid/Medicare updates.
• Maintained Out of State licensure renewals for all physicians that required it
• Performed Board Certification tracking for renewals and additional specialties
• Processed Locum Tenens (coverage by Wake Forest University Medical Center Fellows)
• Managed primary source verifications and NPDB-HIPDB Self-Query and ME Tracking & Compliance (Medical Board(s) and hospital requirements)
• Maintained credentialing maintenance, Corporate, Physician & Ancillary Malpractice Liability & Reporting Endorsement and Nuclear Licensure Maintenance for 13 office locations
• Performed continuous follow-up with credentialing projects
• Coordinated BLS, ACLS & CPR Certification Courses (renewal & initial certification)
• Communicated with providers & Managed Care Organizations regarding credentialing status
• Obtained and maintained current JCAHO & NCQA Standards and Guidelines

Credentialing Coordinator

HealthCare Link

Completed over 1,500 credentialing applications for 158 providers (Orthopaedics, OB/GYN, Plastic Surgery, Cardiology, Pathology, Eye, Ear, Nose & Throat)

Executive Assistant/Transcriptionist

Gaston Memorial Hospital

Performed all secretarial/assistant duties for 13 Radiologists

Secretarial/Medical Transcriptionist

Margaret R. Pardee Memorial Hospital

Performed Surgical Pathology transcription on a daily basis (80-120 cases per day - 60% being Gastro cases)

Executive Assistant/Receptionist

Covenant Village Retirement Community

Served as Assistant to Administrator and performed secretarial and reception duties

Qualifications & Certifications

Computer Programming

Southern College of Technology

Central Gwinnett High School

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