Misty Lynch

* Enrolling providers with insurance payers.

*Onboarding new providers with enrollments and facilities.

*Renewal of medical and DEA certificates for providers.

*Group enrollment and demographic updates.

*Active in new credentialing platform set up.

*Privilege request for providers at external facilities.

*Reappointment's for privileges at external facilities.

*Works with RCM specialists when credentialing issues causing billing issues.

*Conduct meetings with HUBS on credentialing updates or issues.

*Attend meetings with other provider enrollment specialists and leadership.

*AR specialists for clinic and ambulatory surgery ophthalmology medial insurance.

*Charge entry for clinic office visits and procedures. Ambulatory surgery center surgery charges.

*Insurance denials and appeals processing.

*Insurance EOB payment processing.

*Processing of claims to clearinghouse.

*Patient billing accounts receivables with collection agency.

*Reconciliation of unapplied patient and insurance payments.

*End of month and year RCM reports.

*Insurance company medical record audits.

*Verification of patient insurance benefits and preauthorizations of visits and procedures.

*Front desk check in and check out.

*Answer phones and schedule appointments.

*Collect copays and prepayments.

*AR clerk for clinical medical insurance.

*Charge entry for clinic office visits an professional surgery charges.

*Insurance denials and appeals processing.

*Processing of claims to clearinghouse.

*Patient billing account receivables with collection agency.

*Reconciliation of unapplied patient and insurance payments.

*End of month and yearly requirements.

*Medical record request for patients and insurance companies.

*Front desk patient check in and check out.

*Collection of surgical pre-payments.

*Answer surgery center phone.

*Insurance benefit verification for professional and surgery center.

*Credentialing of providers to payers.

*Yearly reports sent to State of Tennessee.

*Monthly reporting to cancer registry.

*Assistance in completion of AAAHC survey and inspection.

*Medical record request for patient and insurances.