Gloria Rathmell

Experienced Credentialing Sprcialist
  • Pflugerville, TX
  • March 3, 2019

I have worked in the healthcare industry for the past 12 years as a credentialing specialist/coordinator. I worked closely with several UT Senior Administrative Assistants in the past 2 years to educate them in the strict requirements of credentialing. Ms. Kellie Sorenson, the program manager of the division of primary care and value-based health and Ms. Linda Burns, senior administrative associate in the Department of Women's Health have both worked closely with me and can attest to my competency.

My qualifications are:

  • Strong oral, organizational, writing and analytical skills
  • Enthusiastic, results driven employee
  • Comprehensive knowledge and in-depth understanding of healthcare operations as well as governmental requirements such as Joint Commission
  • Ability to set priorities, multi-task and self motivate
  • Proficient with Microsoft Office-Pro
  • Focused Professional Service Experience

I enjoy challenging and rewarding employment and feel I would be an asset in this position.

E-mail
rathmellgloria@gmail.com
Phone Number
5125636357

Education

Legal Studies @ UT San Antonio
Aug 2006 — May 2007
Paralegal

Experience

Credentialing Specialist @ Travis County HealthCare District dba CommUnityCare
Jan 2014 — Feb 2019
• Under minimal supervision, directly support 400 plus Licensed Individual Practitioners (LIP)
• Collect, verify and evaluate the professional credentials and qualifications of licensed providers against standards and requirements for initial/reappointment of the medical staff
• Compile and preserve current and accurate data for all providers in a credentials tracking database
• Maintain copies of current state licenses, DEA registrations, malpractice coverage, board certifications and any other required credentialing documents
• Ensure all licensed providers are presented to the FQHC board in a timely manner
• Ascertain task duties comply with all regulatory and accreditation standards including The Joint Commission
• Participated in regulatory audits for Joint Commission and NCQA

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