Music
Keli Kerr
Indio,CA
Summary
Dedicated credentialing and contracting professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Director of Credentialing and Payer Relations
Discovery Behavioral Health
Irvine, CA
02.2025 - Current
- Leveraged professional networks and industry knowledge to strengthen payer relationships.
- Served as resource for physicians in credentialing and privileging process.
- Oversaw operations of certification and credentialing programs.
- Initiated follow-up communications required to adequately research and secure information necessary to facilitate credentialing goals.
- Maintained accurate files, records and credentialing documents in well-maintained databases using Asana and SharePoint
- Directed credentialing process for new users and reappointment for staff applications, privilege delineation and credential authorization.
- Guided clinical credentialing and privileging processes to appoint and re-appoint medical staff.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Conducted regular reviews of operations and identified areas for improvement.
- Monitored NPDB, NPPES and CAQH.
- Worked within CMS guidelines.
Director of Billing and Credentialing
Discovery Behavioral Health
Irvine, CA
02.2024 - 02.2025
- Trained staff in billing systems and procedures to ensure compliance with standards.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Facilitated monthly training sessions for billing department staff on new billing procedures and technologies.
- Monitored accounts receivables to ensure timely payments from customers.
- Analyzed billing processes and recommended improvements to minimize cycle time and enhance customer satisfaction.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
- Coordinated with external auditors during annual reviews of financial statements.
- Analyzed current billing processes for areas of improvement and cost savings opportunities.
- Coordinated with healthcare professionals to collect necessary documentation for credentialing.
- Responded promptly to inquiries from internal departments regarding provider information or status changes.
- Ensured compliance with applicable laws, regulations, policies, procedures, and contracts related to Credentialing functions.
- Created reports regarding various aspects of the credentialing program such as license expirations or privileging status updates.
- Set up NPI numbers for providers and facilities and updated current profile information.
- Participated in credentialing committees, presenting cases and making recommendations.
- Facilitated communication between departments to resolve credentialing issues efficiently.
- Conducted thorough background checks and verified educational and professional qualifications.
- Checked applications for missing information and organized all paperwork.
- Reviewed credentials in a timely manner ensuring accuracy and compliance with regulatory requirements.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Performed audits of credentialing files to ensure accuracy and completeness of documentation.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Recruited, interviewed and selected employees to fill vacant roles.
- Verified licensure, education, certification, malpractice insurance coverage, and other documents as required by accreditation standards.
- Liaised with insurance companies to complete provider enrollment and ensure billing capabilities.
Billing Resolution Lead/Contracting and Credentialing Specialist
Anew Era TMS, LLC a part of Discovery MD
Palm Desert, United States
01.2022 - 02.2024
- Responsible for credentialing and contracting 16 practices in California and Texas
- Verifies and maintains all network, individual and/or facility provider information
- Monitors disciplinary actions, and follow up accordingly
- Corresponds with licensing boards, CAQH and maintain overall accuracy of credentialing information
- Reviews and identifies credentialing and/or re-credentialing practitioners in accordance with company guidelines
- Maintains all information regarding group contracts
- Also responsible for billing auditing and collections for 16 practices in California and Texas
- Responsible for billing collections as well as obtaining authorizations for patient services
- Manage patient accounts for California and Texas
Financial Officer
Old Town Optix Optometry
La Quinta, United States
07.2019 - 12.2021
- Responsible for all medical billing and coding
- Processing patient orders
- DME and Medicare billing
- Responsible for schedule appointments, checking in patients, following up with patients
- Responsible for all patient referrals
- Daily financial reports/days sheets
- Entering patient co-pay, material order charges
Office Manager
Inland Pipeline
Beaumont, United States
02.2003 - 06.2019
- Responsible for all office management, including but not limited to payroll and benefits
- Processing bid reports
- Heavy phones, customer service
- Manage jobs database
Education
Associate of Science -
Laurus College
Santa Maria, California, United States01.2019
Skills
- ICD-10
- Claims Coding
- Medical Records
- Electronic Medical Records
- HIPAA
- Office Management
- Current Procedural Terminology (CPT)
- Insurance Certifications
- Insurance
- Medicare
- Medical Office Administration
- Anatomy
- Medical Billing
- Medical Office
- Provider Contracting
- Provider Credentialing
- Report generation
- Provider enrollment
- Facility support
- Credentialing oversight
- Data management
- Background check
- Application coordination
- Credential verification
- HIPAA compliance
- Provider relations
Extracurricular Activities
I was a volunteer with the American Heart Association. I love reading, cooking and music.
Awards
Honor Roll, Honor Roll at Laurus College 2017
Work Authorization - Authorized Countries
United States
Certification
- Currently pursuing AAPC CPC and CPB certification.
References
References available upon request.
Accomplishments
- Achieved 98% clean claims rate by completing daily billing audits with accuracy and efficiency.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeContract WorkWork Location
RemoteHybridImportant To Me
Career advancementWork-life balanceCompany CultureHealthcare benefitsWork from home optionPaid time off401k match4-day work weekPersonal development programsPaid sick leaveQuote
If the doors of perception were cleaned, everything would appear to man as it is: infinite.
William Blake
Interests
Cooking
Reading
Volunteering
Mentoring
Software
Office 365
Excel
Advanced MD
Office Ally
Compulink
Medisoft
Medallion
Word
Asana
Visio
Agiloft
Languages
English
Native language
French
Intermediate (B1)
B1
Spanish
Intermediate (B1)
B1
Timeline
Director of Credentialing and Payer Relations
Discovery Behavioral Health
02.2025 - Current
Director of Billing and Credentialing
Discovery Behavioral Health
02.2024 - 02.2025
Billing Resolution Lead/Contracting and Credentialing Specialist
Anew Era TMS, LLC a part of Discovery MD
01.2022 - 02.2024
Financial Officer
Old Town Optix Optometry
07.2019 - 12.2021
Office Manager
Inland Pipeline
02.2003 - 06.2019
Associate of Science -
Laurus College
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