Results-driven professional with a proven track record at Transdev, excelling in document verification and compliance for NEMT companies. Highly dependable with exceptional attention to detail, I effectively ensure accuracy in credentialing processes while maintaining strong communication skills. Committed to continuous learning and improving operational efficiency in fast-paced environments.
Review documents for credentialing drivers, vehicles and company for NEMT companies such as background’s, insurance , motor vehicle report, licenses and safety certificates, registrations and inspections and Certificate of insurance for the company to insure there is nothing fraudulent and information is accurate and acceptable according to state regulations Enter documents into systems for Oregon (OBSS) and Colorado ( Procredex and Ecolane) Answer incoming calls
Receives electronic and paper claims from SS and DSHS offices. Reviewed for completeness and CC accuracy, verified legal documents. Runs morning intake for adjudicator’s case assignment. Maintains adjudicator assignment profiles. Understands and reviews all discrepancies between federal and state systems and reconciles edits. Reviews medical records and uploads to electronic folders. Answers incoming calls. Processes incoming and outgoing mail. Maintains a caseload of Office of disability adjudication and review claims