Promoted to Manager Credentialing & Enrollments

Promoted to Asst. Manager Credentialing

•Knowledge and understanding of the credentialing process.
•Ability to organize and prioritize work and manage multiple priorities.
•Excellent verbal and written communication skills including, letters, memos and emails.
•Excellent attention to detail.
•Ability to research and analyze data.
•Ability to work independently with minimal supervision.
•Ability to establish and maintain effective working relationships with providers, management and staff.
•Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
•Proficient in computer based report writing and documentation.
•Competent team player, capable of leading from the front.
•Aggressive worker and fast learner.

• Claim processing and submission
• Submit the claim to insurance companies in order to receive payment
• Taking denial status from various insurance carriers
• Checking eligibility and verification of policy
• Analysis of the data
• Converting denials into payments
• Follow Health Insurance Portability and Accountability Act (HIPAA)
• Patient eligibility verification
• Account follow up on fresh claims, denials and appeals
• Checking the claim status as per their suspension and denials
• Completing audits for error correction
• Supporting the team in process improvement initiatives

I loved working with them

Good experience