Assisted in preparing and coordinating provider information to / from managed care quality committees and other internal departments and / or external entities.
Exceeded production goals by 99% while maintaining quality.
Maintained credentialing database while tracking all direct provider contract data.
Performed primary and secondary source verifications of credentials according to departmental policy.
Maintained all medical license, Drug Administration and malpractice insurance for physicians and mid-level providers.
Ensured compliance with national standards of quality organizations.

• Invoice control
• Preparation of invoices to vendors Support
• Maintain database of all expenses done through the marketing budget
• Maintain database of all purchase orders and invoices for marketing
expenditure
• Preparing financial records and reports.
• Reconciling bank statements

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Following up on unpaid claims within standard billing cycle time frame.
• Calling insurance companies regarding any discrepancy in payments if
necessary
• Researching and appealing denied claims.
• Updating billing software with rate changes.
• Updating cash spreadsheets, and running collection reports.
• Reconciling bank statements