To Acquire A Challenging Position In An Environment Where I Can Best Utilize My Skills Experience And Education.
I've been doing Credentialing and Client Services at MD Tech, They are located in Florida specialties are Cardiovascular Disease, Independent Diagnostic Testing Facility (IDTF), Internal Medicine. I'm working individually and independently on all work aspects to credentialing and client services.Job Responsibilities:• New practice setup in all 50 states with all payers• Complete data verification with insurances• Adding additional providers to a current practice• Re-attestation of CAQH• Re-valiation or Re-credentialing updates of all payers• Credentialing of IDTF and CORF in Medicare, Medicaid and Commercial Inc's• Credentialing of MD, PA, ARNP major is Cardiology• EDI, ERA and EFT Enrollments and clearing house set up (WayStar)• Demographic changes/updates• Help prepare, Form Filling & submit enrollment applications• In Network & Out of Network decision making• Fee schedule review & compliance• Contract Negotiation• Personalize account representatives and contact details• Regular and intense follow up with insurance carriers• Availity, PECOS, Pay-Span, CAQH Proview and Enroll-hub registration.Credentialing is where I always perform better.
I worked as an Enrollment Specialist at P3 Care Solutions a US based medical billing organization, Job responsibility is to enroll a provider and group practice with insurances in multiple states of the US, Also keep client's billing cycle in round shape including EDI, ERA and EFT enrollment so that doctor can get the payment ASAP. Also done a new clients audit before making them live. I handled all clients revalidation or re-credentialing on timely manner also renegotiate the contract who is getting low reimbursement.