Matthew Fields, Clss Email & Phone Number

Indianapolis, Indiana Area

Monitor, analyze and manage claims being held due to an out-of-network statusServe as a liaison between clients, staff, and vendors to ensure timely and accurate credentialing and reimbursementSuccessfully reduced charges being held up due to out-of-network status by 70%, freeing up several million dollars for our clientsProvide resources and support for clients regarding CMS requirements for MIPS/MACRA Work closely with the billing team to add clearinghouse enrollments for existing clientsManage the enrollment process for clients transitioning over to the Waystar platformMaintain up-to-date nationwide knowledge of credentialing regulations and requirementsEnsure compliance with all applicable federal and local laws and regulation

Indianapolis, Indiana Area

Managed the review and processing of medical staff privileges of more than 1,800 clinicians at St. Vincent Indianapolis, Peyton Manning Children’s Hospital, St. Vincent Carmel and St. Vincent Fishers. Built relationships with medical staff, physician practices and hospital leadership to ensure the highest quality of physicians on staff. Trained newly elected physician leadership on duties and responsibilities. Assisted the Medical Staff President and provided medical staff support to all credentialed providers.

Indianapolis, Indiana Area

My position was to process and verify the initial appointment and reappointment applications for physicians and allied health practitioners within St. Vincent Health.

Managed and processed medical claims on more than a dozen national accounts.