Farrah Hays

Managed hospital privileging workflows for physicians and advanced practice providers, including initial appointments, reappointments, privilege requests, credential verification, and facility follow-up. Reviewed provider files for completeness and accuracy, tracked missing or expiring documentation, and coordinated with providers and medical staff offices to resolve deficiencies.

Led credentialing, payer enrollment, contracting, and hospital privileging operations supporting provider groups across multiple states. Managed end-to-end onboarding, recredentialing, CAQH, PECOS, Medicare/Medicaid and commercial enrollment, revalidations, roster maintenance, CHOWs, and ongoing provider support.

Onboarded providers and mid-level practitioners for NPS practices and MSO clients, completing commercial and government payer enrollment from application through effective status. Coordinated hospital affiliations and investigated Epic credentialing errors affecting revenue, documenting issues and routing corrections to appropriate teams.

Managed credentialing and payer enrollment for approximately 150 physicians, nurse practitioners, and physician assistants, including new enrollments, revalidations, recredentialing, rosters, and demographic updates. Worked across CAQH, PECOS, Availity, Athenahealth, payer portals, and internal trackers to resolve deficiencies and maintain billing eligibility across commercial, government, and tri

Facilitated monthly Credentialing Committee meetings, maintained provider enrollment files, supported delegated payer audits, and reported credentialing activity to executive leadership. Supported payer contracting and revenue-cycle issue resolution, overturning approximately 75% of disputed denials and maintaining 95%+ client retention.

Supported hospital privileging and medical staff processes for a network of 1,000+ providers, including initial appointments, reappointments, primary-source verification, delineation of privileges, and file preparation. Prepared provider files for Credentialing Committee, Medical Executive Committee (MEC), and department review, and processed 100+ privilege-related items per day.

Managed operations spanning Health Information Management, billing, patient financial services, medical records, credentialing exposure, and quality/audit workflows in a pediatric hospital environment. Oversaw staff training, coaching, issue resolution, technical support, and quality reviews, supervising teams of approximately 10-20 staff.

Grade: 3.5

Bachelor of Arts in Microbiology from Weber State University, completed from 2013 to 2017 with a GPA of 3.5.