Sarah Deakins
Lebanon,IN
Summary
As an accomplished Provider Enrollment Specialist with over eight years of proven experience in the healthcare industry, I am seeing a new opportunity to utilize my skills and experience. I am a driven and adaptable professional with a track record of successfully tackling challenges through determination and resourcefulness. My background has sharpened my ability to work autonomously, while also recognizing the significance of collaboration withing a team. I posses a clear understanding of both the macro and micro-level complexities that contribute to organizational effectiveness and success.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Provider Enrollment Specialist
Witham Health Services
Lebanon, IN
08.2016 - Current
- Manage and complete credentialing applications for providers, SNFs, hospitals, EMS, and pharmacies as requested by commercial payers, Medicare and Medicaid.
- Resolve discrepancies between provider applications and available data sources.
- Review and verify credentials to ensure accuracy and completeness of enrollment records across multiple databases, supporting precise quality reporting.
- Conduct audits of existing providers' records to verify continued eligibility for participation in network programs.
- Develop and implement processes to maintain data integrity and quality assurance.
- Collaborate closely with Witham's CFO to manage PECOS enrollment records and uphold regulatory compliance.
- Serve as the group administrator for provider portal access organization-wide.
- Verify the accuracy of group information on customer service websites administered by commercial payers.
- Maintain CLIA certification by reporting changes to the Indiana Department of Health in compliance with the final
Clinical Laboratory Improvement Amendment - Cross-trained to provide comprehensive support across various departments within Witham Health Services.
Credentialing Specialist (Part Time) - Remote
Integrative Wellness, LLC
Lebanon, IN
06.2020 - 03.2024
- Facilitated initial enrollment and revalidation processes for individual and group behavioral health providers with commercial payers, Medicare and Medicaid.
- Utilized Google Suite to create tailored applications for collecting provider-specific information crucial for enrollment submissions.
- Ensured accuracy and completeness of enrollment records across multiple databases with verification of provider credentials.
- Leveraged payer self-service portals t validate the accuracy of individual and group records.
- Upheld CLIA certification standards and collaborated with relevant parties to maintain compliance.
- Demonstrated proficiency in maintaining data integrity while providing exceptional customer service to all stakeholders.
Credentialing Specialist
IU Health - Central Verification Office
Indianapolis, IN
09.2013 - 01.2016
- Organized the processing of initial and reappointment applications for healthcare providers to uphold accuracy, completeness and timeliness.
- Ensured data integrity of IU Health's provider database by accurately verifying information and implementing best practices organization-wide.
- Provided comprehensive training to employees while overseeing their work for accuracy and compliance with regulatory standards.
- Contributed to the maintenance of web-based applications and provider home page to enhance user experience and accessibility.
- Analyzed workflow processes to identify and implement opportunities for enhancement and operational efficiency.
Education
Bachelor of Science - Health Administration
Indiana University Purdue University Indianapolis
Indianapolis, INSkills
- Proficient in problem solving
- Demonstrate critical thinking skills
- Resourceful in finding innovative solutions
- Strong attention to detail
- Effective multitasking abilities
- Resourceful in project management techniques
- Strong teamwork and collaboration aptitude
- Clear and effective verbal and written communication skills
- Demonstrate adaptability in evolving work environments
- Uphold high standards of confidentiality
- Committed to providing exceptional customer service
Certification
- Notary Public
Timeline
Credentialing Specialist (Part Time) - Remote
Integrative Wellness, LLC
06.2020 - 03.2024
Provider Enrollment Specialist
Witham Health Services
08.2016 - Current
Credentialing Specialist
IU Health - Central Verification Office
09.2013 - 01.2016
Bachelor of Science - Health Administration
Indiana University Purdue University Indianapolis
- Notary Public
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