Delegated Payor Credentialing.Process initial and recredentialing applications. Intake, Review through completion.Exposure to Cactus.Organize Payor Audit documents for electronic submission.Schedule Credentialing Committee and Board Member Walkarounds.Utilize Concur for mileage reimbursement.Communicate daily with nurses, providers, and credentialing contacts.Running PSV’s, Board Certifications, and requesting Residency and Fellowship verifications.Maintaining Initial and Recredentialing Roster.

Processing initial and Reappointment applications for Medical Staff and Allied Health Professionals. Communicating with other Medical Staff offices. Obtaining licenses from websites, NPDB, DEA, AMA, NPI, CME’s, OIG, Life Supports, Clearing House. Request updated Expirables. Maintaining and entering practitioner’s approvals, licenses, and demographics into a database in Advantx. Mailing out credentialing packets. Work closely with the CEO and Medical Director.

Connect Conversion Team Project, Updating Guarantor and demographic information in EPIC. Contacting patients and verifying insurance. Working from Excel spreadsheets. Working in Work Queues.

Obtain authorizations from HMO’s and PPO’s for patients receiving Chemotherapy. Verifying patient insurance. Retrieving CPT codes from lab reports. Entering ICD9, CPT, and HCPC codes for charge entry. Making follow up calls to insurance companies pertaining to authorizations and pre-certifications. Working closely with Utilization Review Nurses and appointment schedulers. Utilizing schedulers. Utilizing EPIC to retrieve patient information and process chemotherapy orders. Working account Ques. Customer Service via inbound/outbound calls, Medical Terminology.

Global Records Management Focal Point for the Americas. Reviewing contracts in the Contract Management System. Entering contract information on Excel Spreadsheets. Discussing contracts with Contract Procurement Specialist. Communicating with Focal Points in the Netherlands, UK, and Canada

Assisting candidates with Blackboard concerns. Uploading grades to excel spreadsheet. Sending Certificates of Completion of program. Working in different computer databases.

Reviewed, edited and revised letters, forms, and other documents received from directors and managers. Managed and updated audit reports on excel spreadsheets. Managed and prepared weekly reports for the marketing director. Corresponded with compliance and other departments for the completion of projects. Followed up on projects pending with the state of Texas. Updated projects on excel spreadsheet. Prepared letters for language translation. Stored documents on computer shared drive. Processed purchase orders and requisitions for supply orders. Participated in weekly meetings and conference calls.

•Processed the Onboarding paper work for Academic rotation for Medical Students, Residents and Fellows.•Data entered physician information onto spreadsheets.•Manage Biographies and Photographs of Physicians.•Maintain Photographs for the “Academic Office Physician’s Board”.•Assist with Annual dinners, luncheons and orientations. •Reserve Academic Office conference room for meetings.• Arrange catering service for meetings.•Manage computer and projector in conference room.• Manage and order office supplies through PeopleSoft and outside vendors.•Manage Shared Drives.• Answer phones, Faxing, Filing, and Scanning.• MS Word, MS Outlook, Excel.• Developing/Organizing procedures for Administrative/Secretarial duties.• Maintaining office supplies and office machines in the CBO office.• Ordering supplies through PeopleSoft Financials and Office Max.•Training other Administrative Assistants.• Answering phones for Director and Assistant Director.•Scheduling Meetings using MS Outlook Calendar.•Faxing, and Filing.•Corresponding with other departments, IS Help desk, problem solving.•PeopleSoft Financials

• Developed departmental processes and procedures.• Trained and prepared presentations for training.• Utilized overhead projector for training and demonstrations.• Reserved conference rooms for meetings.• Maintained calendar for upcoming events and daily task.• Maintained numerous folders and policies on departmental shared drive.• Attached and downloaded pertinent files and letters to software.• Followed up with Federal contractors.• Ran weekly and monthly reports.• Compiled records and other documents for shipment.• Assisted Supervisor with expenditures.• Ordered supplies with Lawson and Office Max.• Responsible for incoming and outgoing mail.• Electronic and manual faxing, scanning, xeroxing, filing, and creating labels.• Corresponded and problem solved with other departments.• Created and managed audits in computer system.• Completed forms for mileage reimbursement.• Completed forms for retreats.• MS Word, MS Outlook, Excel, Dymo Label Writer 450, and the World Wide Web for research.•Scheduling Meetings in MS Outlook Calendar.•PeopleSoft Financials

• Processed and reviewed applications.• Verified information.• Communicated with internal staff and outside organizations.• Faxing, scanning, filing, and phones.• MS Word, MS Outlook, Excel, and Internet research

• Processed and reviewed applications.• Prepared files for board review.• Verified information.• Conducted Back ground checks.• Created ID Badges for staff.• Retrieved and entered data in multiple computer systems.• Communicated with internal staff and outside organizations.• Participated in weekly and monthly board meetings.• Faxing, scanning, filing, phones, incoming and outgoing mail.• MS Word, MS Outlook, Excel, Access.

• Transcribed physician dictation.• Typed presentations, proposals, agendas, and meeting minutes.• Prepared documents, and assisted with PowerPoint presentations.• Coordinated and reserved conference rooms for meetings.• Prepared and ran reports.• Maintained calendar for upcoming events and daily task.• Organized and maintained multiple departmental database.• Maintained reconciliation records.• Ran errands for the department.• Answered phones for seven executive staff members.• Ordered necessary office supplies.• MS Word, MS Outlook, Excel, PowerPoint.

• Interviewed disabled claimants by phone.• Gathered, researched, and secured information pertaining to claimant.• Verified insurance information.• Submitted disability claims to appropriate claims Manager electronically.• Followed up with employers, employees, and claim managers.• Faxing, xeroxing, and sending mail.• MS Word, MS Outlook, Excel, and Ten Key.

• Supervised 30 Member Intake Specialist in multiple locations.• Hired, trained, and managed performance.• Coordinated all retention and enhanced productivity.• Assigned support staff as needed.• Established work rules, priorities, and standards.• Investigated and resolved customer complaints.• Assisted Manager with planning of orientation and in-service programs for staff.• Assisted Manager with budget preparation and expenditures of routine supplies within budgetary resources.• Responsible for signage and HIPPA implementation.• Disciplinary actions with union involvement.• Performance Appraisals.