Dependable Medical Billing/Supervisor and Credentialing Specialists with 20 year track record of success in Medical Records Management, Full Practice Management, insurance claims processing and credentialing. Focused on delivering exceptional results with strong time management, and communication, and team work abilities. Goal-driven, punctual, self-motivated and task oriented team player with a proven record of building relationships, managing projects, and task delegated from concept to completion. Adaptable and Driven, transformational leader, with ability to work independently or in a team setting. I am a hands on learner, with the ability to learn any task at hand, quickly, thoroughly, and do the job properly. Eager to learn new skills and advance knowledge with hands on experience.
Responsible for day to day upkeep of Provider Enrollment, Up Keep With CAQH, PECOS. Following up with assigned credentialing within 7 days, and providing a detailed Excel sheet to providers. Keep up with updated License, COI, and DEA expirations.
Day to Day Task include, taking phone calls, from patients and physicians offices.
Properly Coded ICD 10 and CPT Codes.
Verified Patient Insurance , checked eligibility and deductibles.
Verified Patient MBI numbers for Medicare.
Posting EOBS.
Posting Patient Payments.
Full Practice Management for Certain Provider Offices, this included obtaining new provider ID numbers, NPI numbers, or anything pertaining to network participation with insurance companies.
Made sure all CAQH profiles up to date.
Revalidation of all Provider Profiles.
Up to date charting related to credentialing.
Gathered all documents applicable to credentialing
Dealt with current and new provider enrollment
Detailed in day to day task to make sure all provider charges, EOBS, and credentialing were accurate, and worked in a timely fashion.
Responsible for filing important paperwork in patients paper charts
Answered Phones for book keeping and connected calls to the proper department.
Pulled Charts for Daily Appointments
Filed the patients charts after provider use
Made sure patient address, phone numbers, and insurance information was updated.
Created new charts for new patients
Stored old charts if patient was not seen in 7 years
Verified eligibility and deductibles on special occasions
Greeted Customers and helped with stocking store
Made sure clothing and shoes were put away after customer tried on
Responsible for register
Responsible for opening and closing register
Worked inventory
Answered Phone
Child Care Provider for newborn up to 2 years of age
After School Program Director
Fed, changed diapers, played with children
Promoted to 3 year old classroom
Responsible for teaching children colors and shapes, helped with toilet training.
Worked with school aged children and summer program.
Overseeing employees hired to work summer program
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