Dorathy Pingel

Credentialing Coordinator
757 217 4668

With over 10 years of healthcare industry experience, Dorathy has spent the last seven as the lead specialist and coordinator of credentialing services offered by RCM&D. She is responsible for the oversight of the credentialing department, and is responsible for development, implementation and quality of credentialing policies and procedures.

Medical Source Verification
  • Provides consulting services
  • Works as interim staff for hospital medical staff offices, performing all aspects of primary source verification process for initial and re-appointments
  • Performs medical staff information system audits
  • Draws on in-depth knowledge of criteria and processes in accordance with JCAHO, AAAHC, and NCQA standards, and Medicare Hospital Conditions of Participation (COPs)
Physician Credentialing
  • Develops and implements credentialing policies and procedures
  • Maintains extensive knowledge of national credentialing guidelines, policies and procedures, as well as state and federal credentialing regulations and laws
  • Coordinates, monitors and maintains credentialing and re-credentialing process by facilitating all aspects of credentialing for clients
  • Manages relationships with provider relations representatives and network educators
  • Educates and performs on-site training for billing staff to ensure compliance with credentialing and billing guidelines for various payers
Education
  • Old Dominion University
Designations & Licenses
  • National Association Medical Staff Services (NAMSS)
  • Property/Casualty Insurance License

Blog Posts

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