Marisa P. Email & Phone Number

East Haddam, Ct, Us

Midvale, Utah, United States

PECS Certified

Middletown, Ct

-Responsible for managing, coordinating and maintaining the credentialing and re-credentialing provider enrollment with major insurance payers for over 300+ providers that include Physicians, Locum Tenens and Allied Health Professionals in Emergency Medicine, Multispecialty, Hospitalists, Behavioral Health and Family Medicine Providers-Responds to unforeseen potential cash flow interruption involving government payer reimbursements by identifying and resolving issues in a timely manner-Works directly with onboarding providers on gaining information needed for provider payer enrollment-Maintaining compliance regulations with CMS and Medicaid guidelines which involve re-credentialing PTAN's for providers and hospital tax identification number-Establishes communication with on-boarding providers as well as Locum Tenen agencies-Knowledgeable in CAQH, PECOS, NPPES databases-Facilitate ERA and EFT enrollments with major payers through completion-Provider re-credentialing with Commercial payers along with Medicare and Medicaid-Maintaining and updating provider rosters-Completion of payer facility credentialing applications for new contracts with payers

Middletown, Ct

-Claims creation for a family practice group with a residency program at Middlesex Hospital dba Family Practice Group-Follow-up denials and refunds for commercial payers-Turnovers for patient collection balances-Extensive knowledge of residency billing compliance for Medicaid and Medicare guidelines

Newington, Ct

-Claim creation for internal medicine office-Schedule upcoming radiology tests-Coordinate follow-up appointments for patients in internal medicine primary care office

Bachelor Of Science (B.S.), Business Administration And Management, General, Marketing

High School Diploma