pamela hickey

credentialing specialist

About

Interested in credentialing or contracting opportunities with hospitals or commercial insurance carriers.

Country

united states

City

nashville

Industry

hospital & health care

Skill

managed care, credentialing, ncqa, hipaa, medicine, physicians, medicaid, hospitals, medicare, healthcare, working with physicians, provider relations, physician relations, medical billing, medical staff credentialing, healthcare industry, u.s. health insurance portability and accountability act, electronic medical record, employee benefits, emr, hmo, ppo

Experience

credentialing specialist

american physician partners

2016-8 - Present · 10 yrs 2 mos

credentialing

maxim healthcare services

2014-3 - 2014-8 · 6 mos

credentialing coordinator

centennial peds/capstone pediatrics

2010-11 - 2014-2 · 3 yrs 4 mos

credentialing coordinator, managed care plan

windsor health plan

2009-1 - 2010-9 · 1 yr 9 mos

Initial Credentialing and recredentialing for all levels of healthcare providers according to NCQA guidelines

benefits coord, and administrator assistant positions

beck arnley/dana corp

1997-1 - 2001-1 · 4 yrs 1 mo

executive assistant

service merchandise

1988-1 - 1996-1 · 8 yrs 1 mo

credentialing coordinator, medical staff svcs

baptist hospital

2002-5 - 2008-10 · 6 yrs 6 mos

Initial credentialing/privileging and/or the recredentialing for Allied Health Professionals and MDs to ensure healthcare providers with hospital privileges provide services within the scope of their training, licensure and approved privileges under JCAHO standards.