DawnCorridoreResume 022415
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Dawn Corridore has over 15 years of experience working in various roles within call centers for managed care organizations. She has experience credentialing providers, monitoring call center metrics and quality, staff scheduling, and handling member and provider inquiries regarding benefits, claims, and billing. Her resume lists her contact information and highlights her skills and professional experience working for several healthcare companies in roles such as Provider Information Specialist, Workforce Planner, Technical Specialist/Supervisor, Medical Billing, Customer Service Representative, and Grievance & Appeals Coordinator.
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Join the webinar led by expert Cati Harris, CBCS, to learn the comprehensive provider credentialing process. This webinar includes a step-by-step guide, printable and customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and more! You'll receive tracking tools for document verification and payer application tracking.
You'll also gain insights into setting up/maintaining CAQH, PECOS, NPPES, and Identity & Management, credentialing documentation requirements, document verification/validation, payor application requirements, and submission of payer enrollment application packages. Plus, discover the key steps to complete once the credentialing process is approved.
Take advantage of the opportunity for a live question/answer session at the end of this information-packed webinar. Join now to enhance your provider credentialing knowledge!
Register,
https://conferencepanel.com/conference/credentialing-101-detailed-guide-to-provider-credentialing
Resume 2015
Latanya Dunn has over 15 years of experience in medical billing and administration. She has strong skills in ICD-9 and CPT coding, Microsoft Office applications, Medicare and Medicaid billing, and data entry. Her experience includes roles managing billing operations at a hospital, performing medical billing and claims processing for various companies, and assisting physicians with billing and payments as a provider service representative. She aims to advance her career with her attention to detail, problem-solving abilities, and quick adoption of new technologies.
shanta jeffries pca[1]
Shanta Jeffries has over 10 years of experience in customer service roles providing administrative support and handling customer inquiries. She currently works as a Patient Care Advocate for Accerdo, where she handles calls from members, providers, and physicians. Previous roles include customer service representative positions at American Home Shield, Regional Medical Center at Memphis, Nursing Innovations, and Excel, where she performed duties such as appointment scheduling, claims processing, data entry, and providing excellent customer service. She has an Associate's degree in science and certifications in bookkeeping, billing, Microsoft Office, and medical terminology.
Marianne c. tapia professional resume (1)
I am looking for Patient Service Coordinator, Receptionist, Data Entry. Looking for a full/part time job in area of Huntersville, Cornelius, Charlotte.
Provider Enrollment Excellence: A Strategic Program Guide
This comprehensive webinar, led by expert Cati Harris, CBCS, is tailored for individuals new to credentialing, those involved in building a credentialing program, or anyone looking to refresh their credentialing skill set. The course covers essential topics in provider enrollment, offering valuable insights and practical guidance.
Participants will gain knowledge on provider credential verification, the setup and maintenance of crucial systems such as CAQH, NPPES, PECOS, and I&A, CV verification, application preparation, review and submission processes, identification of red flags, linking providers to existing contracts, re-verification procedures, and ongoing provider file maintenance. The webinar also includes a FAQ section and guidance on establishing a successful provider enrollment program.
As a bonus, attendees will receive multiple free printable and customizable forms for provider enrollment. The webinar concludes with a live Q&A session, providing participants with the opportunity to have their specific questions addressed. Whether you are new to credentialing or seeking to enhance your existing knowledge, this webinar offers a detailed view of provider enrollment, maintenance, and the development of successful programs.
Register,
https://conferencepanel.com/conference/a-guide-to-provider-enrollment-and-building-a-successful-provider-enrollment-program
JMikeman Resume 2015
Jeannie M. Mikeman has over 10 years of experience in medical billing and coding. She has held roles as a remote coding and billing specialist, registrar, PEIMS specialist, and coding manager. She has extensive experience processing insurance claims, coding medical charts, and ensuring compliance. Mikeman has obtained several certifications including CPC, CMC, and CMIS and is currently pursuing CIC certification. She has a strong background in medical terminology, coding systems, and software.
Provider Credentialing: Maintaining Provider Enrollments, Updates, and Re-Val...
Are you wanting to update your credentialing skill set? Do you have providers you are responsible for maintaining their CAQH and credentialing with all payers? Is it time for your provider's revalidation?
If you answered yes, then you have found the webinar made just for you!
Join expert Cati Harris, CBCS as she presents this detailed, comprehensive webinar providing you with the steps to maintain your provider's CAQH, PECOS, payer enrollments, and completing provider revalidations. This webinar features a guide to provider credentialing, maintenance of provider enrollments, and completing provider revalidations. Also includes multiple printable and customizable forms for payer/application cover letters, provider documentation requirements, Verification of Documentation, CV requirements, application submission, payer linkage, provider revalidation, employment history, and much more!
At the end of this information-packed webinar, you will have the opportunity for a live question/answer session.
Register,
https://conferencepanel.com/conference/provider-credentialing-maintaining-provider-enrollments-updates
Careerminds_charles-schneider-resume-revised
This document is a resume for Charles Schneider, an Accounts Payable/Purchasing Specialist. He has over 20 years of experience in accounting roles, including his current role at Princeton University where he processes over $3 billion in annual payments. Prior to that, he worked at Kelly Services resolving invoice issues and as the Accounts Payable Manager for a manufacturing company where he supervised accounts payable. He has expertise in various accounting software, tax filings, and financial analysis.
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Demystifying Provider Credentialing: Everything You Need to Know
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DawnCorridoreResume 022415
- 1. Dawn Corridore Phone: 5187270782 180 State Highway 67 Email:dawngarrison143@gmail.com Amsterdam, NY 12010 Skills ● Reporting of Call Center Statistics ● Call Center Telephone Management ● Computer Savvy ● Over 15 years experience in Managed Care, Medicare Advantage, CHP, FHP, Medicaid Managed Care and Traditional (EPO, PPO, Indemnity and ASO) Call Centers as well as Individual Exchange Market information ● Provider Credentialing ● Quality Coaching Professional Experience Blue Shield of Northeastern NY Latham, NY 04/19/04 to 10/23/14 Provider Information Specialist ● Credentialing new physicians in 49 counties in NY, PA, & VT ● Process initial requests for credentialing individual providers ● Followup directly with each provider ● Issue CAQH accounts to providers ( A national database for provider information) ● Investigate issues with incomplete files Workforce Planner ● Telephone monitoring of inbound member and provider calls regarding satisfaction parameters, focusing on first call resolution ● Provide Supervisors, Directors and Executive Management with call center metric reportson a daily, weekly, and monthly basis ● Assist customer service representatives with daily intakes, investigate complex member enrollment, billing, claim and benefit issues ● Staff scheduling ● Reporting to the Center for Medicare and Medicaid Services on a monthly basis any perceived denials Technical Specialist/Supervisor Trained and experienced in handling the daily functions of the customer service call center, including but not limited to: ● Simple and complex adjustments, Medicare adjustments, Timely filing adjustments and Prescription reimbursements ● Pega and Content Manager dropping and indexing ● Telephone and Correspondence Monitoring (Quality) ● Resolved Supervisor Calls
- 2. ● Loaded referrals into the system ● Monitored telephone systems in the call center: IE: departmental average speed of answer, calls in queue, etc. ● Handled HMO, PPO, EPO, Medicare Advantage, State Government Products, Individual Exchange products ● Assist customer service representatives with daily intakes, investigate complex member enrollment, billing, claim and benefit issues Prime Care Physicians, Latham, NY Medical Billing/Insurance Verification (20032004) ● Medical Billing and follow up ● Handled patient billing calls ● Filed records Aetna, Inc., Albany, NY Customer Service Representative (20012003) ● Telephone and written inquiries regarding dental insurance benefits and claims ● Claim adjustments Empire Blue Cross, Albany, NY Customer Service Representative (19982001) ● Inbound member and provider calls ● Simple and complex adjustments ● Wrote Internet SOPs for Medicare Advantage plans ● Grievance & Appeals Coordinator ● Substituted for Call Center management to answer representatives questions Education Schenectady County Community College, 19921994, Criminal Justice Bryant & Stratton, 2014 Clinical Foundations