Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karen Sullivan

Brockton,MA

Summary

Provider Enrollment Specialist with extensive experience in processing Medicare Part B applications, ensuring accuracy and compliance. Skilled in Microsoft Office, PECOS database, and HIPAA regulations. Known for strong communication skills and maintaining confidentiality, facilitating smooth operations and enhancing team performance.

Overview

39
39
years of professional experience

Work History

Provider Enrollment Specialist

NHIC Corp. / Peraton
07.2016 - Current

Responsible for the timely and accurate processing of Medicare Part B Provider Enrollment Applications. These applications are for both individual's and business'. All of the information is confidential and complex. The processing of enrollment applications requires competence in Microsoft Office (word, excel, outlook) along side with the PECOS database. Navigating multiple systems, this information is researched, uploaded and processed following compliance guidelines and accuracy. Communication both verbal and written with both internal and external customers is a daily responsibility.

Medicare Part A and Part B Claims /Correspondence Specialist

MEDICARE BCBS -NHIC EDS- NHIC HP
11.1985 - 06.2016
  • Organized and maintained critical communications.
  • Elevated team performance through consistent coaching on proper writing techniques, formats, style guidelines, tone adjustments according to audience needs.
  • Maintained strict confidentiality when handling sensitive materials or client information.
  • Boosted company reputation by ensuring professional and error-free written communications with clients, vendors, and partners.
  • Maximized productivity during peak periods by providing backup support to other administrative staff members as needed.
  • Developed documents in Word and maintained Excel databases.
  • Developed strong relationships with key contacts at partner organizations through respectful and professional communication efforts.

Education

High School Diploma -

Brockton High School
Brockton, MA
06.1983

Skills

  • Credentialing knowledge
  • Strong Communication Skills
  • HIPAA compliance awareness
  • Effective written and verbal communication
  • Data entry proficiency
  • Attention to Detail
  • Experience using the PECOS database
  • Medicare Provider Enrollment Part B experience
  • Knowledge of Microsoft Office applications

Timeline

Provider Enrollment Specialist

NHIC Corp. / Peraton
07.2016 - Current

Medicare Part A and Part B Claims /Correspondence Specialist

MEDICARE BCBS -NHIC EDS- NHIC HP
11.1985 - 06.2016

High School Diploma -

Brockton High School
Karen Sullivan