Sherlyn Bell
Cowan,SC
Summary
Accomplished Credentialing Specialist with a proven track record at Superior Billing Solutions LLC, enhancing credentialing processes and compliance. Expert in insurance procedures and HIPAA, with exceptional organizational skills. Achieved a significant improvement in application turnaround times through innovative system implementation, demonstrating strong multitasking and communication abilities.
Overview
11
11
years of professional experience
Work History
Crendentialing Specialist
Superior Billing Solutions LLC
12.2019 - 11.2024
- - Credential process for healthcare providers, laboratories.
- - Prepare and maintain accurate credentialing files.
- - Point of contact for health care providers regarding licensing and credentialing inquires.
- - EFT enrollment
- - Ensuring health provider State license/credential are up-to-date
- - Providers change of ownerships
- - Multi state PTAN and Medicaid Legacy ID enrollment
- - Multi payor enrollments
- - Healthcare CAQH enrollment and updates
- - Understanding of healthcare regulations and compliance
- - Improved turnaround time for credentialing applications by implementing efficient system.
- - Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions
Document Specialist
Global Lending Services LLC
10.2016 - 09.2019
- Transmitted documents, organized revisions and tracked changes.
- Utilized Microsoft to scan and clean up project documents.
- Ensured compliance with company policies and industry standards, maintaining meticulous attention to detail in all document-related tasks.
- Managed file archival and information retrievals.
- Maintained organized and efficient document flows by using excellent planning and multitasking skills.
Credentialing Specialist
Lab Source
11.2013 - 04.2016
- Credential process for healthcare providers, laboratories.
- - Prepare and maintain accurate credentialing files.
- - Point of contact for health care providers regarding licensing and credentialing inquires.
- - EFT enrollment
- - Ensuring health provider State license/credential are up-to-date
- - Providers change of ownerships
- - Multi state PTAN and Medicaid Legacy ID enrollment
- - Multi payor enrollments
- - Healthcare CAQH enrollment and updates
- - Understanding of healthcare regulations and compliance
- - Improved turnaround time for credentialing applications by implementing efficient system.
- - Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions
Education
Associate of Applied Science - Medical Office Administration
Forest College
Anderson, SC06-2000
Skills
- Insurance procedures
- HIPAA compliance
- Employee onboarding
- Application management
- Document review
- Regulatory compliance
- Provider relations
- License verifications
- Credentialing documentation
- Provider enrollment
- Multitasking
- Excellent communication
- Organizational skills
Timeline
Crendentialing Specialist
Superior Billing Solutions LLC
12.2019 - 11.2024
Document Specialist
Global Lending Services LLC
10.2016 - 09.2019
Credentialing Specialist
Lab Source
11.2013 - 04.2016
Associate of Applied Science - Medical Office Administration
Forest College
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