Meghan DiMarco
Covington
Summary
Experienced medical staff services professional with 16 years of expertise in enhancing operational efficiency and ensuring rigorous regulatory adherence. Certified Provider Credentialing Specialist (CPCS) recognized for streamlining credentialing workflows, coordinating multidisciplinary committee governance, and facilitating communication across hospital departments. Proven ability to collaborate with clinical leadership and hospital administration to achieve high administrative performance. Committed to partnering with these leaders to ensure the medical staff office consistently exceeds institutional standards.
Overview
16
16
years of professional experience
Work History
Senior Medical Staff Credentialing Specialist
St. Tammany Health System
Covington
12.2021 - Current
- Review and process credentialing applications to ensure accuracy and compliance with all accreditation standards.
- Conduct primary source verification for healthcare providers' qualifications.
- Ensure timely completion of credentialing processes by providing guidance to providers on required documentation.
- Manage credentialing database to maintain up-to-date provider information.
- Organize and maintain credential files in the medical staff office and credentialing software to ensure compliance and accessibility.
- Manage the licensure and certification expirations for healthcare providers.
- Coordinate service line meetings with department directors and physician chairs.
- Direct the orientation and onboarding process for incoming physicians.
- Oversee and coordinate the continued education events as the CME Coordinator for the St. Tammany Quality Network.
- Attend professional meetings and seminars to stay current with continuous changes in healthcare regulations and industry standards.
Medical Staff Credentialing Specialist
St. Tammany Health System
12.2017 - 12.2021
- Managed provider credentialing processes for compliance with regulatory standards.
- Reviewed and verified credentials and qualifications of healthcare providers.
- Coordinated communication between providers and various departments for efficient onboarding.
- Maintained accurate records in credentialing databases and management systems.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Performed primary source verifications such as criminal histories, licenses and board certifications.
- Processed re-credentialing applications for existing providers according to contractual requirements.
Credentialing Coordinator
Correct Care, Inc.
Covington
02.2012 - 12.2017
- Directed credentialing process for emergency department physicians across 20+ contracted facilities as primary contact.
- Managed credentialing databases, proactively tracking licensure and certification expirations to ensure strict facility-specific compliance
- Managed provider enrollment for Medicare, Medicaid, Blue Cross Blue Shield, and other private insurance plans.
- Assisted with CME accreditation process for Correct Care Inc.'s continued medical education program.
Quality and Risk Management Coordinator
Correct Care, Inc.
Covington
07.2010 - 02.2012
- Established a physician chart and quality review process across multiple facilities, delivering monthly performance reports.
- Managed daily administrative workflows and provided cross-departmental support for Accounting, Billing, and Credentialing.
- Assisted in preparing risk assessment reports for senior management review.
Education
CPCS - Certified Provider Credentialing Specialist
National Association of Medical Staff Services
10-2018
Skills
- Provider credentialing and onboarding
- Healthcare compliance
- Database management
- Documentation accuracy
- Attention to detail
- Organizational skills
- Process optimization
- Team collaboration
- Communication skills
- Multitasking efficiency
Timeline
Senior Medical Staff Credentialing Specialist
St. Tammany Health System
12.2021 - Current
Medical Staff Credentialing Specialist
St. Tammany Health System
12.2017 - 12.2021
Credentialing Coordinator
Correct Care, Inc.
02.2012 - 12.2017
Quality and Risk Management Coordinator
Correct Care, Inc.
07.2010 - 02.2012
CPCS - Certified Provider Credentialing Specialist
National Association of Medical Staff Services