Rachel Lochansingh
Jamaica,USA
Summary
Detail-oriented professional with extensive experience in insurance claim management, authorization processing, and administrative support, bringing strong communication and organizational skills to streamline workflows and improve operational efficiency. Proficient in Microsoft Office Suite and EMR systems with a proven ability to manage complex tasks and resolve issues effectively. Seeking to leverage expertise to contribute to the success of the team in a new role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Credentialing Coordinator
Metro Physical And Aquatic Therapy
10.2025 - Current
- Submit rosters for providers on Availity
- Updated verifiable with provider's information and notify the committee
- Submit and revalidate Medicaid applications
- Call insurance companies to see if providers were in network
- Reach out to providers for missing documentation (License certificate, registration certificate, resume, and/or diploma)
- Updated CAQH and completed attestations
Worker's Compensation & No Fault Specialist
Metro Physical & Aquatic Therapy
01.2025 - 10.2025
- Call insurance companies and verify status of claims
- Check on authorization status and review authorization status once received
- Submit authorization request for therapy to physician's office
- Mail 1500 claim forms to insurance companies to process for payment
- List and post payments to patient's accounts
- Prepare and upload provider rosters on Availity
- Update Participating Provider spreadsheet once provider is credentialed
- Update cosigner spreadsheet for therapist who require a cosigner
Worker's compensation authorization specialist
Precision Pain Care & Rehabilitation
04.2023 - 12.2024
- Submit prior authorization request on worker's compensation board
- Appeal denials
- Write medical necessities to submit with prior authorization request
- Use of Picasso and Prompt EMR to input, schedule, and upload patient information
- Submit physical therapy prior authorization request
- Call adjusters and/or attorney's office to acquire patient's claim #, WCB #, and claim submission address
- Fill out C4.3 form with patient information and prepare for physician
Internship
Law Office of Ted Kessler, P.C
06.2024 - 07.2024
- Upload pleadings to NYSCEF and placing documents in client's file
- Contacted clients to schedule for independent medical examinations
- Draft motions, affirmation in support, and Notice of Discovery and Inspection
- Mailing and e-faxing Hitech authorizations
- Reviewing summons and complaint and transcripts from Depositions
- Filling out Medicare and medicaid Lien request forms
Receptionist
Dello Russo Laser Vision
11.2021 - 04.2023
- Participate with prescreening patients using autorefractor and pentacam
- Receive, analyze, verify and process all electronic payment data
- Transcribe payments into the company's excel files
- Use of Medics Premier and MD prospects to input, schedule, and keep updated patient information
- Contact LOC 804 for UPS worker's authorization
Recreation Assistant
Hillside Manor Rehabilitation & Extended Care Center
09.2016 - 11.2021
- Greet new residents and introduce them to current programs
- Transport resident to and from activities
- Collaborate with team members to enforce rules and regulations for safety
- Train new Part Time Staff members on protocols
- Check armbands for diets that include dysphagia and aspiration precautions
Education
Paralegal online certification program -
Adelphi University
03-2024
Bachelor of Science - Health Science
CUNY York College
12-2021
High School Diploma - undefined
Thomas A. Edison High School
01-2016
Skills
- Proficient with Microsoft Word
- Proficient with Google Docs
- Proficient with Excel
- Proficient with Powerpoint presentations
- Efficient time management
- Well organized
- Strong communication skills
- Able to problem solve reasonably
Certification
- Good Clinical Practice Certificate - June 2022
- Google Data Analytics Certificate - February 2023
Timeline
Credentialing Coordinator
Metro Physical And Aquatic Therapy
10.2025 - Current
Worker's Compensation & No Fault Specialist
Metro Physical & Aquatic Therapy
01.2025 - 10.2025
Internship
Law Office of Ted Kessler, P.C
06.2024 - 07.2024
Worker's compensation authorization specialist
Precision Pain Care & Rehabilitation
04.2023 - 12.2024
Receptionist
Dello Russo Laser Vision
11.2021 - 04.2023
Recreation Assistant
Hillside Manor Rehabilitation & Extended Care Center
09.2016 - 11.2021
Bachelor of Science - Health Science
CUNY York College
High School Diploma - undefined
Thomas A. Edison High School
Paralegal online certification program -
Adelphi University