Astrid Carl
@astridcarl
Transformative healthcare executive with expertise in credentialing and revenue cycle.
What I'm looking for
I am a transformative and analytical healthcare executive with a proven track record in leading and optimizing hospital and health plan operations. My extensive experience spans various roles, including Director of Credentialing and Revenue Cycle, where I have successfully overseen provider onboarding, managed care contracting, and compliance with regulatory standards. I am passionate about improving operational efficiencies and enhancing patient care through strategic leadership and innovative solutions.
Throughout my career, I have developed a deep understanding of the complexities of healthcare regulations, including Medicaid and Medicare guidelines, and have implemented Lean Six Sigma methodologies to streamline processes. My ability to collaborate with cross-functional teams has resulted in significant improvements in credentialing processes and revenue cycle management, ensuring that organizations meet their financial and operational goals. I am committed to fostering a culture of excellence and continuous improvement in healthcare delivery.
Experience
Work history, roles, and key accomplishments
Director – Credentials
Brownsville Multifamily Health and Wellness Centers
Jan 2024 - May 2025 (1 year 4 months)
Served as subject expert matter for the Credentialing processes and State Regulations. Oversaw the full provider onboarding lifecycle – from initial credentialing through recredentialing to payor enrollment and auditing. Developed, coordinated, and maintained adherence to standard credentialing and recredentialing processes and policies.
Director – Revenue Cycle and Managed Care
Start Treatment and Recovery Services
Jan 2023 - Dec 2024 (1 year 11 months)
Directed and oversaw all policies, objectives, and initiatives of the organization’s (ten clinics) revenue cycle activities to optimize the patient financial interaction along the care continuum. Responsible for finalizing, executing, and communicating revenue-generating solutions involving managed care contracts, both professional and facilities.
Director – Payer Enrollment/Revenue Cycle
One Brooklyn Health System
Jan 2021 - Dec 2022 (1 year 11 months)
Responsible for the successful implementation and optimization of key revenue cycle systems and revenue cycle operations for the three-hospital health system. Oversaw revenue cycle operations team with responsibilities for quality assurance, training, reporting, process improvement, vendor management, and project management.
Director – Credentialing/Contracting
Mount Sinai South Nassau
Jan 2015 - Dec 2020 (5 years 11 months)
Responsible for the oversight and coordination of all functions and activities of the Medical Staff Office administration department (over 2,000 providers), strategic planning, oversight of budgets, staffing, short- and long-range planning, program development, policy, and procedures. Developed of the provider network strategy, provider contracting, provider relations, and operations to support pr
Senior Associate Director Hospitals
North Bronx Healthcare Network/Health and Hospitals Corporat
Jan 2006 - Dec 2015 (9 years 11 months)
Responsible for the operational oversight of a two network Department of Credentialing/Payor Credentialing (over 2,000 providers) and accountability for duties and responsibilities performed by staff including medical education activities, the credentialing process, and support to professional staff officers, department chairs, and committee chairs, for the effective implementation of the Professi
Health System Director – Centralized Credentialing and Managed Care
Saint Vincent Catholic Medical Centers
Jan 1998 - Dec 2006 (8 years 11 months)
Responsible for the strategic and overall administrative and managerial operations of the Central Medical Staff Office, to include provider data services and credentialing functions, including quality, reporting, hospital affiliation contracting, and managed care contracting and continuing medical education, in eight hospitals, two health plans (Fidelis and USFHP), five long-term care facilities,
Education
Degrees, certifications, and relevant coursework
Wagner College
MBA, Healthcare Administration and Finance
Grade: Graduated
Focused on the business and financial aspects of healthcare, gaining expertise in healthcare administration and finance. This program provided a comprehensive understanding of the economic and operational challenges within the healthcare industry.
York College, City University of New York
BA, History/Chemistry
Grade: Graduated
Completed a Bachelor of Arts with a dual focus on History and Chemistry. This interdisciplinary study provided a broad scientific and humanities foundation.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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