LaDashia Boyd

Responsible for completing provider initial credentialing application. Responsible for compiling and maintaining current and accurate data for all providers. Responsible for data entry and maintaining provider information in online credentialing data base.

Perform primary source verification for applicants, collaborates with personnel in other departments and organizations to ensure appropriate documentation is maintained and easily retrievable. Responsible for completing provider initial credentialing application.

Receive and screen initial credentialing applications for eligibility. Review and identify discrepancies and data entry errors on initial applications. Assist customers with credentialing inquires. Run queries for American Board of Medical Specialist. Responsible for maintaining current copies of state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. As well as tracking all state license, DEA and board certification expirations for all providers to ensure timely renewals.

Interview patients to obtain account information, verify insurance coverage and obtain pre-certification/ authorization. Ensure charts are completed and accurate. Calculate and collect patient liability amounts. Ensure all necessary signatures are obtained for treatments, answer any questions, or explain policies. Process patient charts according to the virtual flow needs and established productivity standards.

Supervised a team of 50 call center work from home representatives and provided a positive patient experience. De-escalated patients and escalated issues to the appropriate department. Worked with manager to reskill and forecast agents during high service levels. Utilized EPIC, eCW, and Practice Velocity to assist callers with researching/resolving account inquiries. Monitored calls and coached agents. Utilized SharePoint to read insurance Contract Grid and Contract Summary.

Create a positive patient experience through listening, understanding, ensuring timely resolutions or escalation. Communicating in a friendly manner, and handling patients with a consummately professional attitude. Communicates with customers by phone or via electronic media to obtain information needed to resolve inquiries. Utilized three programs: EPIC, E-Clinical Works, and Practice Velocity to assist callers with researching/resolving account inquiries. Maintained patient confidentiality through HIPPA.