Saleemah Shakir
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. With the ability to handle multiple projects simultaneously with a high degree of accuracy. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Exceptions Analyst III
ASRC Federal Holding Company
02.2019 - Current
- PIV Security Clearance to access government files, databases and websites.
- Posting of monies to beneficiaries CMS Medicaid account.
- Processing of payments forwarded from CMS Medicaid and U.S. Treasury.
- Identified, researched, and resolved errors to maintain system accuracy and currency.
- Contact external clients regarding payment refunds.
- Reviewed and processed payment rejections from US Bank and US Treasury.
- Processed online credit card payments, ACH payments, Lockbox payments and electronic checks.
- Maintained daily reports and advised executive leaders in decision-making processes.
- Distributed work assignments within the department.
- Researched beneficiaries files within SSA MBR database for discrepancies.
- Presented error trend findings to manager after reviewing daily reports.
- Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate.
Sr. Credentialing Coordinator
NuVasive Clinical Services
04.2016 - 11.2018
- Credentialed all new hire Neurophysiologist and current employees.
- Accurately entered all credentials in various databases and shared drives.
- Issued and distributed NuVasive Clinical Services company badges.
- Submitted check request to AP, and paid for all hospital vendor fees.
- Consistently complied with applicable NCQA standards and TJC regulations.
- Ordered background and drug screenings.
- Set up and explained new hospital vendor membership accounts.
- Constructing credential review files for Medical Staff Office.
- Training of Credentialing Coordinator and Sr. Credentialing Coordinator.
- Confirmed approval with hospital vendors and medical staff office for admission.
- Tracked expiring credentials within database.
- Routinely collaborated with Team Lead, Supervisor, Regional Manager and Medical Staff Office.
Enrollment Coordinator
Johns Hopkins Health Care LLC
02.2012 - 04.2016
- Entered updates into the EMR system efficiently and without errors.
- Assigned Primary Care Physician to new members.
- Verified patients eligibility and claims status with DHMH.
- Processing reports directly from DHMH and Johns Hopkins Health System.
- Locked members into Primary Care Physician to stop opioid abuse.
- Consistently complied with applicable laws and regulations of Medicare.
- Closed Primary Care Physician contracts with JHM.
- Processed urgent inquiries from Care Management and Customer Service department.
- Answered an average of 70 queues per day directed from customer service department.
Reimbursement Specialist
SRI Surgical
08.2009 - 06.2011
- Accurately posted and sent out all medical claims.
- Responded to correspondence from insurance companies.
- Posted and adjusted payments from insurance companies.
- Identified and resolved patient billing and payment issues.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
Education
The College of New Jersey
Green Hall, 2000 Pennington Road, Ewing Township, NJ 08628High School Diploma -
The Campus of East Orange High
344 Prospect St, East Orange, NJ 07017Skills
- Database Management
- Maintaining Confidentiality and Security
- Research and Data Analysis
- HIPAA and PHI Guidelines
- Microsoft 365 Applications
- Foxit
- Adobe Applications
- eFax
Timeline
Exceptions Analyst III
ASRC Federal Holding Company
02.2019 - Current
Sr. Credentialing Coordinator
NuVasive Clinical Services
04.2016 - 11.2018
Enrollment Coordinator
Johns Hopkins Health Care LLC
02.2012 - 04.2016
Reimbursement Specialist
SRI Surgical
08.2009 - 06.2011
The College of New Jersey
High School Diploma -
The Campus of East Orange High
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