Mary K Cowan
Raymond,NH
Overview
24
24
years of professional experience
Work History
Enrollment Specialist
Healthcare Administrative Partners
Media, PA
01.2019 - 01.2026
- CAQH new profiles, attest all updates add locations
- Malpractice insurance to CAQH and system to payers
- Provider license updates to CAQH, and system to payers
- DEA updates to CAQH and system to payers
- Applications when needed
- Phone calls for status
Billing / AR
ACI Therapy Billing
Dover, NH
01.2018 - 01.2019
- Thera Bill, WebPT, Ebridge
- Keyed claims
- Sent claims electronically
- Follow up claim denial via phone or email
- Sent claims on paper pulled notes and EOB’S if needed
Claims Resolution Specialist
Xerox NH Medicaid
Concord, NH
01.2013 - 01.2015
- NH MMIS
- Worked suspended claims
- Implemented job aid for specific claim types
- Enrollment Specialist
- Input and reviewed Provider Applications for enrollment
- Retrieved missing information
- 1099 research
- Assisted call center with claim issues
Provider Enrollment Specialist
HP Enterprise NH Medicaid
Concord, NH
01.2009 - 01.2013
- MMIS/NH AIM
- Input and reviewed Provider Applications for enrollment
- Answered all enrollment questions, via phone and email
- All updates and change requests
- Control memos form the State
- 1099 discrepancies
- Audits
- Reported and responded to denials of applications
Provider Service Representative
EDS, NH Medicaid
Concord, NH
01.2006 - 01.2009
- Responded to all claim denials
- Reviewed claim forms UB and 1500’s Dental for processing
- Special batch claims for resubmit
- Reviewed remittance advices with providers
- Eligibility questions and enrollment packets
Medical Billing
Medi-Prompt
Raymond, NH
01.2002 - 01.2005
- Input all patient information
- Input procedure and diagnostic codes
- Problem solved with insurance companies
- Payment letters
Timeline
Enrollment Specialist
Healthcare Administrative Partners
01.2019 - 01.2026
Billing / AR
ACI Therapy Billing
01.2018 - 01.2019
Claims Resolution Specialist
Xerox NH Medicaid
01.2013 - 01.2015
Provider Enrollment Specialist
HP Enterprise NH Medicaid
01.2009 - 01.2013
Provider Service Representative
EDS, NH Medicaid
01.2006 - 01.2009
Medical Billing
Medi-Prompt
01.2002 - 01.2005