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Work Background
BraultCredentialing Coordinator
Feb. 2021 - Feb. 2024United StatesConduct Provider Credentialing and provider enrollment requests. Handle payor ERA & EDI Enrollments, Maintain Provider Demographics, and initial Licensing State Applications. Follow up on underpaid claims—developed reports on billed procedures. Analyze accounts to discover discrepancies and resolve all variances promptly.
STAT MedCare, LLCSenior Account Manager
Apr. 2020 - Jan. 2021
EddyEnrollment Specialist
Jan. 2019 - Mar. 2020I conducted assistance with credentialing source verifications. I met with Providers to discuss contracting and insurance requirements for participation with each insurance company. Prepared and submitted all appropriate applications and required supporting documentation. Follow-up with insurance companies to ensure timely processing of applications and contracts. Educated providers on credentialing and contracting guidelines and requirements for processing enrollment requests. Facilitated clientele meetings with insurance provider representatives to ensure escalated issues resolved promptly. Ran daily production and task inventory, discuss with management appropriate course of action to maintain workload and productivity requirements.
OB Hospitalist Group, LLC(Remote) Credentialing Assistant
Dec. 2014 - Nov. 2016Conduct assistance of credentialing request / Research and Process multiple state Medicaid and Medicare provider affiliation applications / Process Credentialing request for Physician Obstetrical Service Agreements / Assist with dispensing daily Patient Keeper Billing Reports / Verify all Facility Credentialing Reports / Develop reports weekly Credentialing Reports / Verify diagnosis and procedure codes
Freelance Medical Biller Billing and Credentialing Coordinator
Jan. 2013Remote, Spring, TXConduct all Provider Credentialing and provider enrollment requests. Handled payor ERA & EDI Enrollments, Patients Data Entry for Demographics Insurance Verification, and Processing claims. Verified and applied medical diagnosis and procedure codes to all medical records. Post insurance EOBs, A/R Follow up on underpaid claims. Developed reports on billed procedures. Analyze accounts to discover discrepancies and resolve all variances promptly
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