Donna Cox
Healthcare Administration professional with 9+ years of experience in Database Maintenance, Data Quality Assurance, and Auditing
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About
Accomplished Healthcare Administration professional with 9+ years of experience in Database Maintenance, Data Quality Assurance, and Auditing. Expert in managing Provider Network data and ensuring total compliance with Health Insurance and Joint Commission standards. Proven track record of improving database integrity through systematic data entry and cross-departmental coordination.
Experience
Senior Credentialing Specialist III - DAVIN HEALTHCARE WORKFORCE SOLUTIONS - SARATOGA SPRINGS, NY
(2017-09 - 2026-01)
- Managed and audited RN, LPN, and Allied Healthcare professional files to ensure 100% Database Integrity and compliance with regulatory and Joint Commission standards.
- Maintained provider data entries and supported Database Maintenance protocols to ensure seamless provider onboarding within aggressive two-week deadlines.
- Performed monthly Auditing and Data Quality Assurance checks to verify all provider network documentation met facility and Joint Commission measures.
- Coordinated with facility partners through daily communication to resolve network issues and improve Reporting accuracy for smooth workflows.
- Extracted and reviewed medical documentation to verify unit-specific licensing and certifications, applying Healthcare Administration expertise.
- Trained new staff on software systems and Database Improvement strategies to enhance overall team efficiency and credentialing accuracy.
Credentialing Specialist - ELLIS HOSPITAL - SCHENECTADY, NY
(2016-06 - 2017-09)
- Improved the integrity of the Provider Network database through systematic payer enrollment and recredentialing for mid-level providers.
- Executed high-volume Data Entry and documentation maintenance using the Cactus system to ensure accurate provider profile information.
- Provided high-level Customer Service to practice managers and billing staff to resolve payer participation and Claims Processing issues.
- Maintained accurate CAQH databases and internal records to support Health Insurance network reporting and administrative efficiency.
Education
AAS - Health Information Management and Technology - HUDSON VALLEY COMMUNITY COLLEGE (2015-12)
