David Wachsteter

● Perform timely and accurate credentialing of provider contracts

● Maintain provider credentialing files in accordance with state and federal regulations

● Collaborate with the quality control department to ensure compliance with all applicable laws

● Analyze and update provider information in the credentialing database (MMIS)

● Analyze and succinctly synthesize pertinent medical information from patient files for comprehensive review.

● Facilitated the acquisition of medical chart notes from healthcare professionals and initiated communication with payers to secure necessary authorizations, ensuring comprehensive and compliant documentation processes.

● Finalize and communicate authorization status to designated personnel

● Managed the processing of medical record requests by effectively handling incoming calls from patients, medical facilities, and legal representatives. Provided timely status updates on medical records with a focus on accuracy and professionalism.

● Validated records and requests according to HIPAA guidelines and documented all requests and pertinent data to facilitate processing

● Regularly updated and entered patient data into proprietary systems.

● Conducted thorough evaluations and audits of patient records in accordance with physician credentials and industry standards, ensuring adherence to established protocols.

● Transferred data from patient records into medical documentation

● Reviewed all billing codes and patient demographic information prior to completing medical request

● Regularly updated and entered patient data into proprietary systems.

● Conducted thorough evaluations and audits of patient records in accordance with physician credentials and industry standards, ensuring adherence to established protocols.

● Transferred data from patient records into medical documentation

● Reviewed all billing codes and patient demographic information prior to completing medical request

● Prepared and maintained the physical collection area ensuring cleanliness and order-

● Checked in and verified that patient information is accurate and complete prior to submission

● Obtained, processed and documented urine specimen for testing

● Adherence to HIPAA regulations and laws as relevant to patient care needs

● Verified insurance coverage and eligibility via a web portal which included securing authorizations for patient records

● Corrected, updated, and created patient demographics and insurance status reports as necessary

● Demonstrated proficiency in billing systems