Sarah Boggs
Summary
Dedicated manager with over 15 years of healthcare administration experience. I am confident that I possess the skills, knowledge and experience needed to be a successful Clinic Manager with your practice.
Overview
18
18
years of professional experience
Work History
Credentialing Manager
State Of Franklin Healthcare Associates
10.2020 - Current
- Manage the onboarding process for new providers, ensuring timely completion of all required documentation. Assist with with medical license, DEA registration, malpractice insurance, CAQH Profiles and NPPES registry. Oversee the credentialing and enrollment process until onboarding is complete.
- Established strong relationships with Ballad and other facilities, streamlining communication regarding provider credentials and facility privileging.
- Lead team meetings to discuss progress toward goals, troubleshoot issues, and share best practices.
- Evaluate employee performance and convey constructive feedback to improve skills.
- Establish team priorities, maintain schedules and monitor performance.
- Demonstrate excellent problem-solving skills in identifying and resolving discrepancies in provider documentation, ensuring compliance with regulatory requirements.
Career Specialist
AccuForce HR Solutions
11.2018 - 03.2020
- Managed all aspects of staff recruitment, account management, billing/payroll processing for the City of Kingsport's temporary and seasonal employees.
- Conducted pre-hire background checks and drug testing.
- Managed temporary staffing arrangements during periods of increased demand or personnel shortages.
- Assisted with workers comp cases and claims process.
Patient Transportation Coordinator, Billing Clerk
Ambulance Service of Bristol
08.2016 - 11.2018
- Responsible for the coding and billing for three separate EMS agencies.
- Performed quality assurance on EMS reports to ensure they were within state and Medicare guidelines.
- Established tax identification and NPI numbers for the agencies.
- Enrolled the agencies in Medicare and completed revalidation when due.
- Oversaw the revenue cycle until reimbursement was received. This included coding, charge entry, sending invoices, posting payments and follow up with payers.
Billing Specialist / Compliance Officer
Church Hill EMS
01.2014 - 08.2016
- Resolved complex billing issues, promoted teamwork and knowledge sharing.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Performed audits on documentation and billing records. Presented the results to the board of directors and made recommendations for training.
Front Office/Administration
Holston Medical Group
08.2006 - 06.2013
- Front Office ENT - Responsible for check-in and check-out, scheduling appointments in a fast paced specialty office. Obtained prior authorizations as needed.
- Billing Team Lead - Monitored denial reports and supervised team that posted insurance payments and appealed insurance denials.
- Patient Accounts - Responsible for setting up payment arrangements and authorized scheduling access to restricted accounts. Posted collection agency payments and reconciled account discrepancies.
Education
High School Diploma - undefined
Volunteer High School
Church Hill, TN2001
General Studies
East Tennessee State University - Incomplete
Johnson City, TNSkills
- Dependable
- Excellent organizational skills
- Ability to prioritize and meet deadlines
- Excellent verbal and written communication skills
- Project management
- Complex problem-solving
- Strong attention to detail
- MS Office
Timeline
Credentialing Manager
State Of Franklin Healthcare Associates
10.2020 - Current
Career Specialist
AccuForce HR Solutions
11.2018 - 03.2020
Patient Transportation Coordinator, Billing Clerk
Ambulance Service of Bristol
08.2016 - 11.2018
Billing Specialist / Compliance Officer
Church Hill EMS
01.2014 - 08.2016
Front Office/Administration
Holston Medical Group
08.2006 - 06.2013
High School Diploma - undefined
Volunteer High School
General Studies
East Tennessee State University - Incomplete
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