Priscilla Mello Email & Phone Number

Manage PM Migrations for provider enrollments to Secure Connect Clearinghouse.Serve as a primary point of contact for providers, billers, practice management software clients and other clearinghouses regarding enrollments statuses and support inquiries.Lead fellow employees to success by preparing documents, training and being available to answer questions as they arise.Facilitate client meetings to review account status, discuss outstanding items and assist in resolving any issues.Create and maintain accurate and up-to-date provider enrollment databases ensuring data integrity and confidentiality.Ensure compliance with applicable regulatory requirement’s including HIPPA and other privacy regulations.Create and update process documentation for training internal staff on workflow and processes.Gather, prepare and submit documents required for 837P, 837I, 835 and 270/271 enrollments, ensuring forms are completed accurately and submitted in a timely manner.Manage the enrollment process for healthcare providers, group practices, Physicians and other healthcare professionals while monitoring the status of applications and following up with clearinghouse and payer support.Build and maintain positive relationships with internal and external clients, billing companies, Providers and insurance companies.Manage and delegate queue cases to ensure department SLAs are met.Provide client support such as updating portal information, resetting passwords, open support tickets regarding missing ERA, Rejected Claims and enrollment issues.Experience using third party portals such as: Hets, Availity, Change Healthcare, Optum, Payspan, Zelis, Payer Enroll Services, Echo, Caretracker and Benchmark.Participate in several company committees including: Employee Engagement, Website Creation, Portal Enhancements and Modernizations, AI Integration, Diversity Equity and Inclusion Committee.

Prepare miscellaneous documents for Attorney review, approval and execution.Maintain an organized workload to ensure proper handling of files in a case management system.Communicate regularly with Attorney’s, Clients, Borrowers and Colleagues.Managing and organizing Attorney calendars; preparing and scheduling meetings, court appearances and live auctions.Handle foreclosures mediation referrals by collecting and preparing data from all parties, arranging and attending mediation hearing and following up on agreed upon terms with all partiesPrepare payoff statements and purchase bids for auctioned foreclosures.Stay up to date and knowledgeable on state requirements and timelines for Judicial and non-judicial foreclosures.

Research Insurance Coverage.Obtain Prior Authorizations.Work with Patient Assistant Programs.Demonstrated excellent customer service approach, ability to work as a team member with a customer service satisfaction focus and problem-solving ability.Ability and initiative to work independently.Strong interpersonal, communication, time management, organizational and customer relations skills.Coordinated and processed requests from manufacturers, patients, physicians and other healthcare professionals.

Ensure that sales meet or exceed plan.Process payroll in a timely manner. Plan and maintain team schedule and hours.Ensure funds and merchandise is handled according to policy & procedure.Create schedules according to selling expense and productivity.Participate in the recruitment and hiring of associates.Develop associates to ensure strength and selling skills.On-going coaching, counseling and training of associates.Maintain the highest standard in all store operations.Plan and execute merchandise displays and visuals to meet and enhance company standards and brand.Communicate effectively with internal and external customers.Effectively manage time for self and associates.Ability to communicate openly and honestly on all store issues.Maintain the integrity and cleanliness of the store.Assist with projects as assigned.