Erin Roundtree Email & Phone Number

Orange Park, FL, US

Remote

• Receives and processes incoming applications and supporting credentials from providers
• Performs timely follow-up with providers on all pending applications
• Performs the primary source verification according to departmental policies and NCQA standards when not completed by CVO
• Builds and accurately maintains provider information in various systems
• Performs Quality Assurance of all provider credentialing information in preparation for committee(s)
• Responds to inquiries regarding the status of provider’s application

Remote

Maintain client database and ensure updated Accounts Receivable outreach for past due invoicesImport & upload client documents, updating naming convention as neededResearch and handle phone correspondence setup & inquiries

Remote

• Manage tasks for President/CEO, Vice President/COO, Project Manager and Senior Strategist
• Manage schedule and calendars for President/CEO and advise of conflicts
• Review high importance and flagged emails for President/CEO to ensure timely responses
• Provide research as needed for President/CEO
• Track and upload invoices for timely processing by Vice President/COO
• Ensure all Labor posting requirements are met for Vice President/COO

Remote

• Act as POC for president
• Review products and provide feedback for clients for continuous quality improvement
• Handle administrative needs for president
• Manage work and personal schedules and calendars
• Assist with travel and personal obligations
• Manage recruitment

Remote

• Act as liaison and POC for president
• Manage schedule and calendars
• Manage Grant and Proposal projects
• Coordinate collaborations with writers, clients and president
• Manage hiring, timekeeping and payroll
• Ensure deadlines are met by all parties involved

Jacksonville, Florida

• Presented program to potential network contractors via telephone; including cold calls, following up on referrals/leads
• Sent marketing materials and applications to prospective contractors related to programs
• Documented call progress on productivity report and in automated systems
• Utilized various software programs to locate contractor information and document contractor information
• Analyzed areas of need for contractor network coverage
• Took part in developing new strategies for recruiting contractors

Jacksonville, Florida, United States

• Maintained high quality, timely and accurate credentialing processes of medical and allied healthcare professionals per CPC policy and procedure
• Assisted in the credentialing process by entering/logging/scanning information into credentialing system for initial, updated, add on applications and maintenance processes
• Acted as liaison with MSO as point person for completing and ensuring compliance and delivery of required information to clients in a timely manner
• Pursued incomplete information
• Assured confidentiality of data
• Processed and maintain credentialing and re-credentialing in accordance with CPC policy and procedure, Joint Commission standards, State and Federal Regulatory regulations.This will include but not limited to the.

Orange Park SSC CPC

• Monitored collection of all information received; follow up on missing items and/or incomplete forms per CPC policy and procedure, submit follow up requests for verifications as needed
• Identified and evaluates potential red flags and works in collaboration with practitioner to document the issue and physician response
• Advised Manager and/or Director of questionable information received, and any issues identified during the processes
• Submitted closed files for audit/final review and secure missing items as identified by audit/final review
• Maintained all credentials files ensuring that all correspondence in the credentialing and reappointment process is accurately filed; is knowledgeable and current on the process and legal/regulatory requirements
• Compliant with HCA policy and procedure, Federal and State regulatory and accrediting agencies as required

2025 Park St

Verify insuranceEnter chargesSchedule appointmentsCollectionsIT

Jacksonville, Florida

Resolve emailed client emailed inquiries via support mailboxAnswer calls and resolve client concernsProcess Electronic Remittance Advice enrollments and update formsResolve 270/271, 276/277. 278, 835, 837P/837I inquiries and issuesTrain and update Electronic Remittance Advice enrollments policies and proceduresResolve manager and lead Electronic Remittance.

Jacksonville, Florida Area

• Excelled in customer service
• Answered calls and resolved member’s concerns
• Processed cancellation and customer service surveys

Jacksonville, Florida Area

• Answered phones and scheduled appointments
• Assisted Recruiters in obtaining new students/leads
• Counseled students on course work and requirements

Jacksonville, Florida Area

• Made sure patients were compliant with treatment
• Updated adjusters and nurse case managers of patient’s progression with treatment
• Maintained organizational, time management and multitasking skills and am detail oriented
• Assisted with CQI report for better understanding of procedures

Jacksonville, Florida Area

• Performed financial transactions and resolved member’s concerns
• Balanced ATMs and cash dispenser
• Performed audits on ATMs, Cash dispensers, teller drawers and teller’s work

Jacksonville, Florida Area

• Excelled in customer service
• Performed prep work
• Stocked shelves

Jacksonville, Florida Area

• Answered phones and scheduled appointments
• Handled petty cash, co-pays and deductibles
• Verified all billing codes for correct processing

Columbus, Ohio Area

• Verified benefits and eligibility
• Handled over 200 personal injury, insurance and workers compensation patients a week
• Explained Explanation Of Benefits to patients and deductible information

San Francisco, California

• Processed payroll
• Handled accounts payable and receivable
• Dispatched and provided directions to calls

Columbus, Ohio Area

• Resolved member’s concerns
• Performed financial transactions as well as inform them of products and services offered
• Balanced ATMs, vault and cash dispenser
• Balanced cash drawer

Accounting, 3.0

Activities and Societies: African American Studies Aerobics

High School Diploma, General Studies, 3.5

Activities and Societies: Class of 2000 club African American Student Union Women's Ensemble Choir Multi-cultural Honor Choir