Summary
Overview
Work History
Education
Skills
Timeline
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Nicki Mazzone

Las Vegas

Summary

Detail-oriented professional with 17 years of experience in credentialing and billing practices. Proven ability to manage credentialing processes, ensuring compliance with state-specific regulations and telehealth protocols. Strong verbal and written communication skills, proficient in database maintenance and provider relations. Aiming to leverage my skills to successfully fill the role at your company.

Overview

14
14
years of professional experience
2008
2008
years of post-secondary education

Work History

Credentialing/Billing Specialist

PMR Consulting
03.2023 - Current
  • Successfully managed and completed the credentialing and licensing process for healthcare providers across all 50 states, ensuring compliance with state-specific regulations and requirements.
  • Possess in-depth knowledge of telehealth and virtual visit protocols, including cross-state licensure, temporary practice laws, and telehealth registration processes, enhancing provider compliance by 72%.
  • Effectively communicated with healthcare providers and internal teams to ensure timely credentialing, demonstrating strong verbal and written communication skills.

Credentialing Manager

Golden Victory Medical
12.2019 - 06.2023
  • Streamlined credentialing processes by implementing efficient tracking systems, enhancing provider compliance.
  • Organized and oversaw assignments, driving exceptional excellence and ensuring adherence to best practices.
  • Maintained up-to-date knowledge of industry regulations, ensuring ongoing compliance and reducing risk.

Credentialing/Billing Specialist

Centennial Pediatrics
02.2011 - 12.2019
  • Reduced denied claims by 64% through diligent review, correction, and resubmission of errors, ensuring compliance with billing practices.
  • Maintained up-to-date knowledge of regulatory changes impacting medical billing practices, ensuring ongoing compliance and reducing risk.

Education

Associate of Science Degree -

Anthem Institute
Las Vegas, NV

Skills

Multitasking and organization

Verbal and written communication

Attention to detail

Revenue cycle management

Medical billing and collections

Provider relations

Regulatory compliance

Credentialing oversight

Database maintenance

Timeline

Credentialing/Billing Specialist

PMR Consulting
03.2023 - Current

Credentialing Manager

Golden Victory Medical
12.2019 - 06.2023

Credentialing/Billing Specialist

Centennial Pediatrics
02.2011 - 12.2019

Associate of Science Degree -

Anthem Institute

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Nicki Mazzone