Work collaboratively with Arnot Health Medical Staff, Provider Enrollment, Human Resources and other departments for a seamless onboarding and orientation of locum and permanent providers.
Physician Liaison
Arnot Health
Elmira, New York
09.2020 - 01.2022
Responsible for generating reports for all Arnot Health Providers and Residents to indicate actions that need to take place in order for a claim to be released and paid.
Monthly meetings with departments to individually assess what providers need to complete for said claims.
Participate in monthly orientation to introduce our RAI process.
Work closely with Operational Directors, Practice Managers, and Providers to assist with reducing the amount of RAIs on the reports.
Review corrections made and assign the claims to the proper coder or resubmit if possible.
Provider Recruitment Coordinator
Arnot Health
Elmira, New York
09.2019 - 09.2020
Responsible for coordinating and tracking all Locums staffing and communicating with locum companies regarding scheduling, travel, lodging, and compensation.
Confirmed appointments and interviews with job candidates.
Assists with in-house recruiters with logistics of the recruitment process to result in the successful placement of provider candidates.
Developed and maintained an effective working knowledge of prior employment agreements, employment process, offer packages, compensation and benefits to answer questions as needed.
Managed onboarding processes, ensuring new employees had a seamless transition into their roles.
Responsible for submitting reimbursement and invoice requests to Account Payable.
Provider Enrollment Specialist
Arnot Medical Services
Elmira, NY
07.2016 - Current
Maintain current and up to date provider files including copies of current licenses, DEA certificates, CV’s, Medical School and post-graduate study certificates, board certification, Hospital and office privileges and Malpractice certificates.
Work in conjunction with Director to manage Provider Dictionary, loading and monitoring Provider Insurance Identification numbers.
Retain records related to completed provider enrollments.
Responsible for completion of insurance enrollment forms required of all AMS providers.
Work with all AMS providers to gather information that may be needed for submission of applications or for information to keep their current status with payers.
Responsible for assembling all pertinent supporting information and submitting applications to carriers in a timely fashion.
Establish close working relationships with credentialing staff, Recruitment Department, Medical Management, and payer contacts.
Maintains confidentiality with regard to all aspects of the everyday functioning of the department to include but not limited to records, files, meetings, and personal and professional correspondence.
Resolves provider enrollment related claims issues between carrier and billing agent that do not require provider intervention.
Sales Associate
Zales
Horseheads, NY
08.1999 - 03.2020
Approach browsing customers and initiate conversations to determine buying preferences.
Sign customers up for mailing lists and inform them of upcoming promotions and events.
Entered in daily and weekly payroll.
Performed opening and closing store operations.
Ordered premade and custom designed merchandise.
Trained new employees on daily operations of the store and customer service.
Physician Billing Clerk (Charge Entry)
Arnot Medical Services
Elmira, NY
07.2013 - 06.2016
Demonstrate knowledge HIPPA Privacy and Security Regulations by appropriately handling patient information.
Confirmed patient information and verified insurances via email and telephone.
Evaluate the dates of service, procedures, locations, and provider signature.
Post charges, and at times adjustments.
Substitute Teacher/ Long Term and Short Term
Elmira City School District
Elmira, NY
12.2008 - 06.2013
Prepared daily lesson plans for activities and lessons.
Supplied one-on-one attention to each student, while maintaining overall focus on the entire group.
Interacted with students throughout the day to keep them engaged.
Conducted small group and individual classroom activities based on differentiated learning needs.
Observed students to supply teachers with feedback regarding potential learning blocks and opportunities for support.
Communicated effectively with other educators and parents.
Provider Relations Coordinator, promoted to Sr. Provider Relations Coordinator at Medical Associates Clinic & Health PlansProvider Relations Coordinator, promoted to Sr. Provider Relations Coordinator at Medical Associates Clinic & Health Plans