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Valast George

309 Watson Ferry Drive

Forest Park, GA 30001

(678) 949-9876 or alt. (404) 932-1230                                                                                                    Email: valast@yahoo.com

Summary:             Eight years experience in healthcare services with strong emphasis in the development of customer relationships, credentialing, providing administrative supervision and billing. Have the ability to learn different systems and policies quickly and adapt to a variety of environments.  Proficient in several types of computer software applications including, credentialing systems.

Objective:              Seek a challenging position where I can maximize my professionalskills, experience and education to ensure quality medical services.

EMPLOYMENT HISTORY

3/2012-2/2013

ApolloMD                                                                                                                                                             Atlanta, GA

Sr. Credentialing /Physician Licensing Specialist

·         Review and pre-populate physicians’, Allied Health Providers’ and Mid-level Practitioners’ state medical license application for American and Foreign Graduates

·         Collaborate with state licensing boards, Federation Credentials Verification Service, residency program, medical schools, and malpractice carriers and medical staff office personnel and recruiters to facilitate the employment process for medical providers

·         Process peer reviews, references, and employment affiliations

·         Verify credentials statewide and internationally

·         Process applications for DEA and Controlled Substance Registrations

·         Handle departmental calls and questions, compose letters, create credentialing check and balance sheet, create spreadsheets and tracking methods

·         Manage confidential files and records, order NPDB, transcripts, CMEs, FCVS profiles, CMS applications

·         Notarize documents, process payments electronically, request checks and money orders

·         Maintainmanaged care contracts and expenditures for travel

·         Obtain hospital privileges, licensure and reappointment privileges for civilian and military medical providers

·         Conduct meetings, train staff and assign credentialing tasks to others

·         Knowledge of Accreditation Guidelines and Standards, Interpret federal / state laws.

3/2011- 2/2012                                                                      

Eagle Hospital Physicians

Credentialing Coordinator                                                                                                                                             Atlanta, GA

·         Processmedical providers initial and re-appointment privileges

·         Perform primary source verifications, obtain professional and peer reviews

·         Assist physicians in obtaining various state medical licenses, FCVS, DEA

·         Audit credentialing records, coordinate meetings

·         Maintain credentialing database, perform on-line vetting

·         Obtain malpractice claimhistory, issue malpractice certificates of insurance

·         Monitor expiration on certification and Continuing Medical Education requirements

·         Review medical by-laws, knowledge of JACHO regulations, HIPPA and NCQA standards

·         Prepare international and united states shipments

                                                                                               

8/2008- 1/2011

Central Home Health

Business Office Manager                                                                                                                   Atlanta, GA

·         Superviseadministrative staff, manages budgets and perform basic accounting

·         Working knowledge of the medical business office, insurance operations and managed care activities

·         Handle all new employee orientation, forms, and new hire paperwork

·         Responsible for filing all government paperwork for new hires and terminations of employment

·         Handle all compliance records for governmental hiring regulations and posting labor laws

·         Responsible for recruiting and staffing logistics

·         Responsible for organizing office and space planning, conduct risk assessments

·         Responsible for performance management and improvement systems

·         Process and Track Worker’s Compensation, experience with benefits administration including medical, disability and 401K

·         Experience administering FMLA and personal leave

·         Issued name badges, security badges, laptops and cell phones, conduct staff meetings

·         Processed and approved expenditures including, process expense reports

·         Processmedical billing for Medicaid, Medicare and private Payors (CPT/ICD-9 Coding)

·         Perform account payable & account receivable activity on major accounts and produce payroll for 50+ employees

·         Verify insurance coverage, develop vendor relations, maintainand reviewed medical files

·         Coordinatemeetings and responsible for budget management for the office

·         Process licensing renewal and lease management for the office

·         Campaign vehicles for continuous improvement of employee communications

8/2008-5/2009

Jackson Hewitt

Federal / State Income Tax Preparer                                                                                                  College Park, GA

·         Prepare individual and business income tax returns

·         E-fileincome tax returns, requesttax loans and debit cards

·         Handle customer inquiries and calls, computedemographicaldata

·         Verifylegal documents, obtain W-2s via web

·         Process paperwork for rapid refunds, issue checks and debit cards

4/2007-6/2008               

MedPro Staffing (Temp)                                                                                                                                                Atlanta, GA

Human Resources Administrative Assistant

Temporary Job

·         Knowledge of state and federal employment laws

·         Recruit for qualified applicants by developing and cultivating local sources for applicants

·         Conduct interviews using effective interviewing tools, obtain information for background checks and drug testing

·         Process new hire paperwork, processed payroll, verify credentials

·         Prepared and maintain contracts and proposals, created excel tracking spreadsheets, ticklers and dashboards

·         Updated job boards, maintained personnel files and/candidate databases

·         Ensure compliance with HR policies, practices and guidelines and applicable state and federal laws

·         Coordinate and conduct workforce planning for exempt and non-exempt positions with emphasis on affirmative action objectives and compliance

·         Ensure completion of employee basic training as well as other required skills training

·         Resolve employee and labor relations issues by providing consultation to management and employees

·         Experience with benefits administration including medical, disability and 401K

·         Process paperwork for FMLA and personal leave

6/2005-4/2007

Whitaker Medical

Medical Staff Coordinator                                  Atlanta, GA

·         Verifymedical staff credentials, issuecertificates of insurance

·         Handleclient calls, compose letters and contracts, coordinate meetings

·         Prepare marketing materials and presentations, correlate with vendors

·         Coordinate business travel and manage calendars

·         Purchase office supplies, createexcel spreadsheets, complete initial application for privileging

 

EDUCATION

Shorter University                                                                                                                                                               5/2013

Bachelor of Science Degree in Business Administration

Shorter University                                                                                                                                                              2008-2010

Business Administration

Associate’s of Science Degree

                                       

SKILLS

Typing, scheduling, supervising, office management, communication,ICD 9/CPT coding and credentialing

Computer Proficiencies: excel, word, word perfect, lotus notes, power point, access, peoplesoft, AS-400 mainframe, peachtree software, visio designs, outlook, adobe, group wise, meeting planner, QuickBooks, kronos, sap, med kinetics , credentialing software (Med kinetics, Cactus) and HRIS. MEMBERSHIPS: NAMSS, GAMSS

REFERENCES

Available upon request

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