Emma Prescott

Challenge: Delays in provider enrollment due to inconsistent tracking and documentation processes for state and federal payer programs.

Action: Managed and streamlined the credentialing function, ensuring accurate provider enrollment and maintaining updated records in the billing database. Worked with state and federal payers to ensure reimbursement for services.

Result: Improved the enrollment accuracy by 20%, ensuring timely reimbursement and adherence to statutory and accreditation requirements.

Challenge: Inefficient credentialing workflows and delayed provider enrollment processing.

Action: Led independent credentialing projects, working directly with the Medical Staff Office and using credentialing software to maintain provider information. Ensured data integrity and compliance with accreditation standards for all providers.

Result: Successfully reduced credentialing cycle time by 15%, meeting all accreditation and enrollment standards for providers.

• Challenge: Billing discrepancies and enrollment errors due to inaccurate provider information.
• Action: Assisted in managing the provider enrollment process and verification of provider credentials to ensure accurate enrollment and billing for federal and state programs.
• Result: Reduced billing discrepancies by 10%, ensuring that provider enrollment was aligned with accreditation standards and reimbursement guidelines.