Sangita Chattoo
Casselberry,FL
Summary
Highly motivated and resourceful employee consistently commended by management for exceptional delivery of customer service. Strong focus on meeting and exceeding customer expectations to create positive experiences and build lasting relationships. Recognized for quick adaptation to changing situations, adept problem-solving, and innovative solutions. Dedication to providing top-notch service and strong work ethic make a valuable asset to any team.
Overview
18
18
years of professional experience
Work History
Provider Enrollment Coordinator
TeamHealth
07.2023 - Current
- Communicate clearly, concisely, positively, and professionally
- Provider Enrollment Specialist role is a remote position, allowing the Provider Enrollment Specialist to be based anywhere in the country
- Medicare and Medicaid revalidations
- Recredentialing for all payers
- Creation and maintenance of CAQH practice and clinician profiles
- Submission of clinician updates, e.g., licensure and certificates of insurance to payer
- Completing all requests for data validation from payers and internal customer
- Manage roster submission, review, and data entry
Team Leader /Administrative Assistant
NYU
Boynton Beach, FL
11.2021 - 06.2023
- Process H&P paperwork - send to the primary care provider, verify completion
- Coordinates procedure scheduling including the provider schedules and operating room or ambulatory procedure center time with patients' schedules
- Use Epic Program
- Scheduling for more than 100 Clinical Departments with variability in appointment types
- Departments included anesthesiology, dermatology, digestive health, family medicine, oncology, neurological surgery, neurology, obstetrics, and gynecology
- Scheduling for more than 30 providers which include physicians, nurse practitioners, physician assistants, nurse clinicians, acupuncturists, athletic trainers
- Greet patients in person or over the telephone and provide them with specific information regarding the facility's services
Provider Enrollment Representative
Northwell Health
New Hyde Park, NY
04.2019 - 01.2021
- Process enrollment applications for both government/commercial health plan payers, and manage the ongoing participation requirements of the plans for all providers enrolled
- Ensure current versions of forms are used for the provider enrollment function
- Facilitate obtaining copies of practitioner licenses, and other credentialing forms
- Interact with representatives from health plans to answer inquiries and clarify requirements
- Responds to internal and external inquiries on routine enrollment and contract matters
- Monitors and advises clients on enrollment revalidations
- Attend meetings and present on credentialing productivity, critical concerns, or projects assigned
Practice Assistant
Dr. Kevin Ohayon Family Medicine
Fort Lauderdale, FL
01.2017 - 12.2019
- Greet, admit, and process up to 80 patients a day in a high-volume family practice
- Perform reception and follow-up calls
- Fax pre-op clearance letters and respond to prescription requests, refills and authorizations in a highly accurate and efficient manner, interpreting doctor's orders and managing multiple tasks efficiently
- Maintain EMRs in system, digitizing paper documents following HIPAA regulations and preserving patient privacy
- Solve medical billing issues, verification of coverage with insurers, and patients' co-pays with diplomacy
- Receive payments
- Internal go-to for IT issues due to facility with computers and diverse systems experience
- Saved practice money on IT services and trained all office members, including doctors, on system conversion to Availity, MicroMD, and Drs Enterprise
Administrator/Receptionist
Dr. Syed Naqvi Neurology Office
Queens, NY
01.2014 - 12.2016
- Provided admin support for neurology office as part of a lean staff team of 5 with one doctor
- Ensured efficient operations by providing excellent customer service to patients
- Answered phones, scheduled appointments, entered info into electronic records
- Obtained and sent medical records and authorizations, executed medical billing & helped with technical issues
Dietary Services Aide
Wyckoff Heights Medical Center
Brooklyn, NY
01.2012 - 12.2014
- Supported Dietician and prepared meals for patients of this busy 350-bed urban teaching hospital
- Provided assistance and care for patients, including those with multiple dietary restrictions
- Documented nutritional intake
- Educated patients on diets and limitations according to their treatment
- Maintained safety and high-standard sanitary practices to avoid contamination
Receptionist and Medical Billing (temp Position)
Hereford Insurance Company
New York, NY
01.2009 - 12.2010
- Answered all incoming phone calls
- Posted payments, input C-2 and C-4 forms for Medicaid, while greeting and assisting visitors
Medical Billing and Coding Specialist
VirtuOx
Coral Springs, FL
01.2007 - 12.2009
- Billed Medicare, Medicaid and other insurance for this diagnostic testing facility for sleep disorders and respiratory diseases
- Managed Fastrack, an overnight oximetry lab that sent a device home with patients whose results were uploaded and analyzed to determine supplemental oxygen needs
- Answered calls, created EOBs, and sent denial forms
Education
Associate in Occupational Associate degree -
ATI College
Fort Lauderdale, FLSkills
- Medical Referrals
- Authorizations
- Billing
- Co-payment Collection
- Medical office experience
- Organizational Skills
- Patient care
- Intake
- Epic
- Insurance verification
- Office management
- Schedule management
- Prescriptions refill
- Microsoft Powerpoint
- EMR Systems
- EHR systems
- Sharepoint
- Patient service
- Triage
- Salesforce
- Customer service
- Computer Literacy
- Office manager experience
- Quality assurance
- Outlook
- HIPAA
- Administrative experience
- Managed Care
- Computer networking
- Communication skills
- Scheduling
- Supervising experience
Multitasking
Timeline
Provider Enrollment Coordinator
TeamHealth
07.2023 - Current
Team Leader /Administrative Assistant
NYU
11.2021 - 06.2023
Provider Enrollment Representative
Northwell Health
04.2019 - 01.2021
Practice Assistant
Dr. Kevin Ohayon Family Medicine
01.2017 - 12.2019
Administrator/Receptionist
Dr. Syed Naqvi Neurology Office
01.2014 - 12.2016
Dietary Services Aide
Wyckoff Heights Medical Center
01.2012 - 12.2014
Receptionist and Medical Billing (temp Position)
Hereford Insurance Company
01.2009 - 12.2010
Medical Billing and Coding Specialist
VirtuOx
01.2007 - 12.2009
Associate in Occupational Associate degree -
ATI College