Formal request to be given the opportunity to be considered for the position of the Provider Enrollment Analyst / Credentialing, fully remote.
Extremely dependable candidate, very successful at managing multiple priorities, which I am able perform with a positive attitude. Willing to demonstrate these skills, by taking on added responsibilities in order to meet team goals. Very hardworking, in addition to strong organizational skills, along with showing compassion. Eager to prove my myself, if I am chosen for this position.
Overview
26
26
years of professional experience
Work History
Business Office Manager
Munising Memoiral Hospital Association
04.2017 - Current
Responsible for all Bay Care Medical Center RHC clinic claims, verifying submission of claims to our clearing house, correcting any processing errors, including processing and correcting all claim denials.
Building charges, requested from our coding company. These charges will be added to the Charge Master, this enables the coders to add the new charges built to the claims for processing.
My name and phone number is listed on all statements, I am considered the patient advocate for all MMH/BCMC patients.
In charge of reviewing all statements to verify balances are correct before generating and submitting to patients.
Assisted in organizing and overseeing assignments to drive operational excellence, thru Team meetings with Department Heads.
MMH/BCMC provides Financial Assistance to their patients, I am in charge of this process. I assist patients with filling out the application and gathering all required documentation to process the application. Once applicant has completed the application, I process the application by reviewing and making the decision to deny/approve applicants. I also complete the adjustments to be made once approved, to the existing outstanding balances. I also control the spreadsheet with patients names and approved adjustment percentages, to ensure all future balances that may occur, have adjustments performed.
Responsible for all MMH/BCMC collection processes, which includes making the decision on which claims should be placed in to collections, or after reviewing claims, deciding to reset statement cycles. This enables the patient to receive additional statements, in addition to the standard four, which our system originally generates.
I am a major part of the Revenue Cycle team, we have three team members, we meet twice weekly, to discuss any and all revenue issues and the steps to resolve these issues.
Responsible for the Quarterly Medicare Credit Balance reporting.
Assisted with development and implementation of financial policies and procedures to streamline operations. This statement is related to the Financial Assistance and Charity Care policies.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers. By treating patients with respect and listening to their needs. You should always treat others, as you would like to be treated. This is more than a statement, it is words I follow, for every phone call I receive.
Facility and Professional Administrator on several web sites utilized by hospital staff, responsible for adding, removing employees, and resetting passwords.
Complete Medical Housing Verification forms for the local housing commission.
Provider Credentialing, User Login for CAQH, LARA, PECOS, BCBSM and Simplr (formerly known as CACTUS)
Registration/Medical Billing Clerk
Emeral City Dental
08.2016 - 04.2017
Filed and updated patient information and medical records.
Posted payments and collections on regular basis.
Updated patient financial information to guarantee accuracy.
Answered phones.
Scheduled patients.
Generated and posted statements.
Customer Service Representative
Dr. Shelly Baker OD,PC
04.2013 - 08.2016
Compiled and filed Medical Records
Performed pre-test on patients using the auto-refraction, and non-contact tonometry.
Answered constant flow of customer calls with minimal wait times.
Scheduled patients
Distributed contacts and glasses
Completed orders for patients contact lenses and provider examples.
Updated account information to maintain customer records.
Senior Head Teller
Manistique Federal Credit Union
09.1997 - 07.2012
Managed daily bank operations by processing customer transactions and providing exceptional customer service.
Mentored and trained new tellers on bank procedures and customer service standards.
Recognized and prevented fraudulent activities and suspicious transactions.
Answered inquiries regarding checking and savings accounts and other related products.