HALA ELMOHAWAR

• Reached out to the different health plans and gathered information on how to credential different types of behavioral health providers and how to meet the requirements of credentialing for each health plan in different states.
• Used different health plans portals such as, Availity, ProviderSource, OneHealth Port, CAQH to credential providers.
• Created a credentialing guide for the company that specified the credentialing process for different types of behavior providers according to each state.
• Credentialed different types of behavioral health providers with all the contracted health plans by the due date requested.
• Worked with the other departments especially the contracting department on many projects.
• Worked with the billing team, the authorization team, and intake team on fixing all the credentialing issues that are related to denied claims in the past and helped solving the issues successfully.
• Introduced the company to a credentialing platform called Modio, and helped the company launch the new system and provided training to the contracting department and the authorization department.
• Managed provider's expirables (Board Certification, Licenses, etc) by sending providers reminders to renew their credentials.
• Coordinated closely with human resources to ensure seamless integration of hiring activities into the overall credentialing process.
• Reduced processing times for credential applications by optimizing workflow efficiency and staff allocation.
• Participated in all meetings and prepared reports required for each meeting to solve any problems effectively.
• Attended the trainings provided by health plans to update the credentialing guide accordingly.

• Responsible for providers' onboarding process
• Working with providers to meet the enrollment deadline
• Prepping providers' credentialing portfolios
• Updating providers' state licenses, DEA licenses, and Control Substance licenses.
• Communicating with leadership department for providers' assignments, and obtaining required signed documents before the deadlines.
• Enrolling providers with health plans
• Notifying health plans of any enrollments updates
• Updating the system
• Using tracking tools to keep track of the onboarding process
• Processing Medicare applications using PECOS
• Updating providers' CAQH profile after having providers' authorizations.
• Creating providers' profiles in Modio
• Generating and editing reports to submit to the leadership team.

• Enrolled providers with health plans.
• Special Project leader
• Notified health plans of terms, and demographic changes.
• Updated the system with new information.
• Updated Malpractice Insurance, state licenses, and DEA licenses.
• Verified providers licenses, and NPI and updated the system.
• Harvested PID from health plans websites and updated the roster.
• Worked on updating health plans roster, and meeting the deadlines.
• Worked on special projects, to meet the deadlines.
• Contacted providers' offices to obtain required documents for the credentialing process.
• Followed up on health plans' submissions until the end of the process.
• Communicated with contracting department and the health plans for process clarification and problem solving.
• Data entry.

• Helped the clients with filling out their initial intakes while having them on the phone.
• Booked the clients with the appropriate therapist.
• Maintained therapists' schedules.
• Notified the clients and therapist of any changes, and made the necessary updates to therapists schedules.
• Found an alternative therapist when the main therapist was not available, and worked on problem solving.
• Verified clients' benefits and eligibility.
• Obtained clients' authorizations and updated authorizations before the expiration dates.
• Updated the system with clients' and therapists' information.
• Credentialed the therapists with different health plans.
• Communicated with the other LeafWing Centers in different areas, and provided help when needed, faxed over documents, assisted with Data entry, and referred clients.
• Mailed out therapists' paychecks, and updated the system.
• Assisted payroll when needed.

• Worked as a room service host
• Provided costumer service care to the patients
• Delivered breakfast, lunch and dinner to the patients' rooms
• Communicated with the dietitians when the meal had nutrients ingredients the patients shouldn't consume based on their diets
• Filled the nutrients rooms with needed supplies, and reported missing ones

• Assisted clients with applying for Health insurance, Cal-Fresh, and Housing.
• Contacted social services and followed up on clients' cases on behalf of the clients
• Prepared and presented Nutrition workshops for adults, also nutrition events for kids.
• Participated in all events provided by Access California Services,( Eid and Christmas Gifts for kids, Job fairs, AccessCal annual Gala....)
• Data entry

Provided costumer service to costumers

• Planned specific diets for patients with diabetes, high and low pressure, anemia, osteoporosis, and obesity.
• Contributed to diabetes awareness and education.
• Performed screening assessments and physical workups for new patients as required on an individual basis.