Michelle Ezzo Email & Phone Number

Sanford, Fl, Us

Sanford, Florida, United States

Credentialing clinicians for various clients

Florida, United States

Enrolling providers with various insurance plans.

Sanford, Florida, United States

Credentialing MD's, DO's, PA's, APRN's, LCSW's, DMD's and DDS' for a FQHC.

Sanford, Florida, United States

Sanford, Fl

Remote positionObtaining authorization for Radiologic and Surgical proceduresVerifying medical benefit eligibility

Maitland, Fl

Responsible for reviewing patients’ case and insurance coverage informationWork cordially in a team and participate in meetings, sharing ideas and information.Ensure all patient files are available for daily verification of insurance benefits by printing census.Request pre-certification and benefits for outpatient procedures.Perform verification of Medicare coverage.Initiate authorization for medical procedures via internet or fax.Trained new employees.Request clinical information for authorization determination as well as peer to peer reviews.

Lake Mary, Florida

Interacts with customers to provide information in response to inquiries about products and servicesTransfer customer calls to appropriate departmentsIdentify, research, and resolve customer issues Follow-up on customer inquiries not immediately resolvedResearch member billing and claims issuesResearch payment and member refund issuesHandle and resolve customer's complaintsAbility to navigate through automated information systems to analyze the caller’s situationExplains in a way the customer can understandServes as liaison between the customer and various departmentsOther duties as assigned by the management team related to job functions (sort incoming faxes, correspondence, fax transportation forms, etc.)Required to work some overtime as the business requiresRequired to work flexible schedules (nights, weekends), or change schedules - as it is determined based on the needs of the business, which are subject to change

Orlando, Florida Area

Enter data from consent formsPosting payments from health insurance companiesInternet researchVerifying insurance claims status' via Availity as well IVRVarious duties as assigned

Orlando, Florida Area

Process physician credentialing application's from Data Entry through Quality Assurance.Review applications for completeness and data credentialing information based on client needs, contractual requirements and credentialing standardsIdentify missing information based on credentialing standards and client requirementsInitiate collection of missing informationPerform primary source verificationsMaintain departmental production and accuracy goalsTeam with peers for effective and efficient workflowMiscellaneous Department Transfer-followed up on requests for missing information via phone call, fax and emailPosted information to file once receivedQuality Assurance Department Transfer-review files for completion following URAC, NCQA and JCHO standardsRequest any information that is still in questionAdhere to 45 day completion timeEnsure files are correct and complete before submitting to client

Opening cases for clinical review in File Maker and Case Trakker systemsScanning documents and attaching them to cases in File Maker’s systemAppeals Coordinator-Managed appeals including intake and follow upScanning medical records for retentionAssisted in obtaining URAC accreditationCreating and Maintaining Excel SpreadsheetsAssisted in Medical TranscriptionBinder production (Policy & Procedure Manuals)

Diploma, Medical Billing And Coding

Associates Degree, Medical Office Management/Administration

Courses completed include: Medical Terminology Anatomy and Physiology Computer Concepts Keyboarding Introduction to Health Careers.