I opened my home-based insurance credentialing company, Goss Business Solutions, LLC in 2017. I have clients in Alabama, Colorado, Idaho, Montana, New Mexico, Ohio, Oregon, Utah, and Washington. Credentialing is an ever-changing process that has many steps and critical deadlines that must be met, and isn't something that you can just dabble in. I am a reliable and trustworthy professional and I take my responsibilities very seriously. If you have the need and are interested in having me take over this process for you, now or in the future, please contact me and I would be happy to talk to you about my services, provide you with a resume and answer any questions you may have.

I provided credentialing services to 35+ providers employed by BMH. Inc. Specialty type include MD, DO, PA's, Residents, Locum Tenens, and Hospitalist. I also maintained credentialing for the BMH locations in Pocatello and the surrounding areas.I left BMH employment to focus on my own credentialing business, Goss Business Solutions, LLC.

Maintain the credentials of PT/ST/OT therapist and facilities to ensure they comply with federal and state regulations regarding licensure and certification of medical professionalsTrack the expiration of certifications and licenses and track credentials with insurance companiesProcess new credentialing applications and re-certification paperwork Designed a Policy & Procedure manual, Safety manual, Human Resource manual, Quality Performance manual, Employee handbook and numerous forms and documents for a new DME company to allow them to have Medicare billing privileges and become accredited.Performed monthly, quarterly and annual audits of the DME company records in order to maintain accreditationVerification of patient insurance benefitsCompleted, submitted and tracked pre-authorizations

Coordinated, scheduled, conducted sales presentationsDocumented & tracked all sales leads & follow-up Quoted health insurance, completed apps & documentationProcessed incoming telephone calls, correspondence & walk-in inquiriesResolved application, billing, and claim issuesMaintained inventory of all office suppliesMaintained required filing systemsProvided backup assistance and training for other staff members