Erin Potter Email & Phone Number

Conroe, Tx, Us

Pawtucket, Rhode Island, United States

- Review, analyze, and process reporting for all payer enrollment documents, including education, residency and fellowship training, board certification, licensures, and certificate of insurance (COI).- Identify, research and analyze any claim denials that were a result of enrollment or contracting problems.- Manage and prioritize high volume email account (>150 daily), and phone communication while earning trust and building strong relationships.- First point of contact for seven Federally Qualified Health Center (clients nationwide with over 600 providers regarding onboarding, credentialing, enrollment, contracting and accountsreceivable concerns.- Lead biweekly client conference calls while presenting updated reporting, troubleshooting all concerns, and executing future processes.

Austin, Texas, United States

- Responsible for the onboarding, enrolling, re enrolling, revalidating, and submission of data/documents for providers and locations to commercial and government insurance payersnationwide.- Managed and maintained CAQH, all records, documents, licensures, hospital affiliations, and all payer enrollment requests for over 600 providers nationwide.- Processed all demographic updates as needed for all providers and facilities to all commercial and government insurance payers.

Austin, Texas, United States

- Completed and submitted payer credentialing or re-credentialing applications to insurance carriers including Medicare and Medicaid.- Monitored the status of applications and ensured enrollments were completed correctly and promptly.- Obtained and maintained all practitioner license information from the state and government agency websites, National Provider Databank, and other 3rd party certification groups.

Austin, Texas Area

- Processed incoming provider applications and maintained existing contract and credentialing documents to ensure records and documents were complete, accurate and compliant.- Completed Primary Source Verification (PSV)- Maintain the credentialing database while assuring accuracy and completeness, generate reports and letters.- Prepare and present monthly credentialing files and reporting to the Credentialing Committee monthly.

Austin, Texas, United States

- Promoted within the company to Credentialing Manager.- Managed and trained a team of 15 while overseeing the credentialing department.- Created and maintained the credentialing department employee manual, built and executed client credentialing and maintenance contracts, and spearheaded all Medicaid priority specialized programs.- Traveled nationwide visiting clients, attending trainings, as well as participating in continued education for multi discipline groups.

Austin, Texas, United States

- Responsible for managing the credentialing process from onboarding to contract execution.- Monitored collection of all information received, followed up on missing information, and submitted follow up requests for verifications.- Promoted to Credentialing manager June 2015.