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Work Background
University of the Incarnate WordClinic Support Manager
Sep. 2013Worked under the Chief Compliance Officer and Assistant Dean of Clinical Affairs to ensure compliance with all state and federal regulations. Supervise, train, and support credentialing and administrative staff to maintain consistent workflows and service levels. Maintained detailed logs and trackers of pending and completed credentialing work, documenting actions and status in enrollment databases. Communicate application status and results to providers, payers, managers, and internal teams via phone and written correspondence. Conduct NPDB queries and primary source verifications; research and resolve credentialing-related claim issues and payer inquiries. Produce regular status reports and escalate stalled applications; recommend process improvements to reduce average turnaround time. Serve as Privacy Officer, ensuring credentialing processes comply with HIPAA and institutional policies and Served as Custodian of Records, managing record-keeping responsibilities and completing affidavits for records requests. Revenue Cycle Management
University of the Incarnate WordAdministrative Assistant, Academic Affairs
Jul. 2011 - Sep. 2013San Antonio, Texas Metropolitan AreaDelivered executive-level administrative support to the Associate Dean of Academic Affairs and the Dean. Conducted verification of credentials for faculty and clinical hires while maintaining a detailed database of licenses, CVs, and credentialing documents. Coordinated and put on five continuing education events each year.
University of the Incarnate WordAdministrative Assistant, Clinical Services
Jun. 2010 - Jun. 2011San Antonio, Texas Metropolitan AreaApplied for the type 2 NPI number for the new optometric clinic, ensuring compliance with federal regulations to facilitate provider enrollment and billing processes. Implemented the credentialing and privileging plan for a new optometric clinic dedicated to student training, ensuring all processes aligned with institutional standards and regulatory requirements. Completed provider enrollment and re-credentialing for 40+ clinicians; managed CAQH profiles, NPI setup, and Medicare/Medicaid enrollments.
Cardio CareFront Desk Coordinator
Dec. 2008 - Mar. 2010Preparation of all insurance credentialing and hospital privileging applications for an interventional cardiology private practice Coordinated diagnostic testing and procedures for patients.
Plainfield & Sayreville Animal HospitalsVeterinary Technician
Sep. 2003 - Sep. 2008Pittsburgh, Pennsylvania, United States
University of PittsburghAdministrative Secretary
Jan. 1997 - May. 2001Preparation of all insurance credentialing and hospital privileging applications for providers at the Minimally Invasive Surgery Center. Managed clinical and academic schedules for multiple providers. Responded to incoming patient inquiries, providing information and directing them to the appropriate healthcare professional. Documented new patient and referral intake processes. Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems. Assisted in processing insurance claims, verifying patient insurance information, and handling billing inquiries and documentation.
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