Robin G. Email & Phone Number

Tampa, Florida, United States

Enrollment Coordinator- Physician/AHP: FL and AZ payer enrollments and recredentialing for multi-specialty practices: Ob/Gyn, MFM, Gyn/Oncology, Urogynecology, General Surgery, Radiology, Pathology, Hospitalists- Electronically submitted provider enrollments and delegated rosters for office and hospital-based medical for commercial, federal/state funded, and traditional fee-for-service plans. Focus on Medicare (PECOS: First Coast/Noridian, I&A), AvMed, BayCare Plus, Cigna, Cigna BayCare, Cigna LocalPlus, CarePlus, Evolution, FHHS, Galaxy, RR Medicare, Health Choice/Orlando Health, Oscar, Tricare - Effectively compiles supporting documents, monitors application progress, maintains provider enrollment information using INTELLISOFT and VerityStream (CredStream) database- Partners with insurances representatives and RC department for claim resolutions

Bethlehem, Pa

Enrollment Coordinator- Physician/AHP: payer enrollments and recredentialing for multi-specialty practices: Ob/Gyn, MFM, Gyn/Oncology, Perinatal, Dental, Oral Surgery, Podiatry, Family Practice, Hospitalists, Urgent Care Center - Electronically submitted provider enrollments for office and hospital-based medical providers for commercial, federal/state funded, and traditional fee-for-service plans: Aetna, AvMed, Blue Cross, BHP, Capital BlueCross, Cigna Coventry, Humana, IBC, Medicaid, Medicare (PECOS/I&A), Multiplan, Tricare, UHC - Compile direct verification documents for onboarding, while monitoring and maintaining provider files using ECHO enrollment database- Created and maintained provider CAQH, NPPES - Experience with CLIA's, Radiology Privileging (Dip Level)- Obtained Physician/AHP's NJ medical license, DEA, and CDS- Partnered with insurances representatives and RC department for claim resolutions

Allentown, Pa

Credentialing Specialist- Payer enrollments and recredentialing for hospital-based CRNAs contracted by Lehigh Valley Hospital Health Network - Submission of provider enrollments for hospital-based medical providers for commercial, federal/state funded, and traditional fee-for-service plans: Aetna, AvMed, Blue Cross, BHP, Capital BlueCross, Cigna Coventry, Humana, IBC, Medicaid, Medicare (PECOS: Novitas), Multiplan, Tricare, UHC- Compiled direct verification supporting documents for onboarding and ongoing monitoring: CV, medical license, DEA, board certification, medical education, COI, and privileging - Created and maintained provider CAQH, NPPES - Anesthesiology credentialing and payer enrollments as needed - Partnered with insurances representatives and RC department for claim resolutions Administrative Assistant to the Director of Education - Dr. Rafael Martinez- Coordinate and manage intern and resident rotation schedules- Compile and submit official online evaluations in multiple college web-based programs- Coordinate monthly lecture schedule, prepared agenda, and PowerPoint presentations - Participated with Emerging Health Professionals (EHP), Health Care Career Discovery Programs and educational clinics for partnering colleges and high schools, with anesthesia displays and PowerPoint presentations- Partnered with local college and high school students to schedule anesthesia shadowingAdministrative Assistant to the Vice Chair of Quality Assurance - Dr. Karen Bretz- Ran monthly reports and compile data for the Anesthesia Department’s monthly "Volume Indicator" case reports - Created PowerPoint presentations (ex: SCIP, NRCPR, Aspiration, ACLS) for monthly lectures- Prepare monthly, quarterly, and annual financial and case incident reports for Quality Assurance (Q.A.) and Performance Improvement Committee meeting

Allentown, Pa

- Monitored candidate e-offers, prepared acceptance packets and participated in new hire orientation - Coordinated candidate travel, lodging and expense reimbursement- Created “Becoming Familiar with Your Lehigh Valley” brochure. Worked with graphics department on the design and implementation of various inserts, new hire packets and brochures

Dental Assisting

Dental Assisting certification Radiology certification -X-ray Certification #XD021457L - Dept. of State - Issued 10/15/1999

Ms Office

MS Office certification