Alicia PetersAP
Open to opportunities

Alicia Peters

@aliciapeters2

Experienced Contracting and Credentialing Manager with a focus on efficiency.

United States

What I'm looking for

I am looking for a role that values efficiency and innovation in healthcare operations.

I am a dedicated Contracting and Credentialing Manager with a proven track record of enhancing operational workflows and increasing revenue. At Gateway Foundation, I developed a new efficient workflow for PC Billing, resulting in a remarkable 200% increase in revenue within just one month. My role involves overseeing the Contracting and Credentialing Department, ensuring that all provider credentialing activities are executed smoothly and efficiently.

Throughout my career, I have successfully coordinated multistate credentialing processes and developed onboarding procedures that significantly reduce orientation time. My experience at WellNow Urgent Care allowed me to facilitate effective communication between providers and payers, resolving complex issues while maintaining positive professional relationships. I am committed to compliance with industry standards and continuously seek to improve processes through data-driven audits.

Experience

Work history, roles, and key accomplishments

GF
Current

Contracting and Credentialing Manager

Gateway Foundation

Developed and implemented a new efficient workflow for PC Billing, resulting in a 200% increase in revenue within one month. Solely manage the Contracting and Credentialing Department, overseeing day-to-day operations and ensuring efficient workflows for provider/facility credentialing, contracting, and compliance.

WC

Contracting, Credentialing, Licensing, Enrollment Specialist/Payer Relations

WellNow Urgent Care/Physicians Immediate Care

Jan 2022 - Jan 2024 (2 years)

Coordinated the multistate credentialing process for all new and existing providers/facilities, ensuring all licensure, certifications, and professional documentation were completed and maintained in compliance with accrediting bodies and payor requirements. Assisted in the development and implementation of a new medical staff onboarding process that reduced orientation time by 99%.

RA

Lead Medical Assistant/Recovery Support Coordinator

Recovery Centers of America

Jan 2020 - Jan 2022 (2 years)

Delivered a high level of quality care to the substance abuse/behavioral health population. Led team on patient admissions and triaging incoming patients based on assessment.

WC

Interventional Radiology/Diagnostic Cardiology Department Coordinator

West Suburban Medical Center

Jan 2019 - Jan 2020 (1 year)

Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all physicians. Maintained up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.

EI

Surgical Precertification/Scheduling Coordinator

Ear, Nose & Throat Specialists of Illinois

Jan 2017 - Jan 2019 (2 years)

Managed weekly surgeries for eight Surgeons at Hospitals (inpatient/outpatient) and Surgical Centers. Scheduled, screened, and followed up with all patients for tests, surgeries, and hospital consultations.

DC

Medical Assistant/Office Manager

Dr. Richard M. Hayes- Primary Care

Jan 2009 - Jan 2016 (7 years)

Managed daily operations of practice and implemented strategies to increase patient base and retention. Oversaw credentialing, patient referrals, insurance verifications, ensuring compliance with healthcare standards.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Bachelors of Science, Health Management

Completed a comprehensive curriculum focused on health management principles and practices. Gained expertise in healthcare administration, policy, and operational strategies.

IC

Illinois School of Health Careers

Technical Degree, Patient Care Technician

Acquired practical skills and theoretical knowledge essential for patient care. Focused on assisting healthcare professionals and providing direct patient support.

Northern Illinois University logoNU

Northern Illinois University

Associate of Science, Psychology

Studied foundational concepts in psychology, including human behavior, cognitive processes, and research methods. Developed analytical and critical thinking skills applicable to various fields.

Tech stack

Software and tools used professionally

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Alicia Peters - Contracting and Credentialing Manager - Gateway Foundation | Himalayas