Ivan Tanski Email & Phone Number

Maintain organizational operational compliance with defined standards in close collaboration with top management. Engage in negotiating contracts with insurance companies. Manage all credentialing and re-credentialing applications for providers. Draft credentialing files / reports for individual providers. Deliver quality performance by processing and filing applications of third party payors. Steer significant efforts in receiving electronic payments from payers and submitting EFT / ERA applications. Spearhead all enrollment disconnects in regards to facility and providers. Ensure activation / upgradation of all licenses and accreditations. -Supervised a team of three members and provide strategic training to multiple employees with focus on ensuring smooth running of credentialing, contracting, and authorizations operations. -Ensured effective maintenance of credentialing software, provider rosters, and spreadsheets as per requirements. -Identified and decreased discrepancies in applications as requested by payors.

Followed complex insurance policies and EOBS related to eye visits / surgeries with a focus on filing accurate claims and adjusting rejected claims. Engaged in verifying patient coverage and receiving pre authorizations from insurance companies. Aligned with CPT / ICD 10 coding requirements and government regulations. Allotted suitable medical codes to all eye visits, including surgeries. Collected / managed payments from insurance companies and patients. Communicated and interacted continuously with US counterparts through phone and email to ensure seamless workflow. -Acknowledged with fast track promotion from billing / ophthalmology specialist to trainer by meeting and surpassing expected performance goals. -Delivered exceptional leadership and trained a team of four members for ensuring top-notch home health care services.