Sara Ferguson Email & Phone Number

Golden Valley, Minnesota

Responsible for managing the credentialing, privileging, and provider enrollment process for all practitioners practicing within the Infinite Health Collaborative, PA (I-Health) clinics under NCQA guidelines and Ambulatory Surgery Centers (ASC’s) under AAAHC guidelines. This includes overseeing the initial credentialing process for new practitioners.

Greater Minneapolis-St. Paul Area

Manages daily internal operational functions of the FSCO.Manages the work of the Reappts Team, NCQA Team, Expirables Team, and Admin Assistant.Manages work flow, staffing responsibilities and allocation of staff resources to meet entity expectations and accreditation standards.Ensures optimal staff performance through monitor mechanisms.Assure compliance.

Greater Minneapolis-St. Paul Area

Supervises the Joint Commission Initial and Reappointment Credentialing SpecialistsAssures timely completion of applications to meet goalsAssures ongoing training to assist staff in achieving quality goalsCoordinates work assignmentsAssists with urgent needs for processing or quality reviews

Greater Minneapolis-St. Paul Area

Assists in all areas of the credentialing department and works with team members to address questions regarding processing of fileProcesses red flag issuesPerforms Quality ReviewsAssists in training team membersParticipates in performance improvement processes and implementation of changes.

Greater Minneapolis-St. Paul Area

Processes reappointment applications including verifying reappointment data changes, performs primary source verification of license, insurance, DEA and board certification, running NPDB, EPLS, process privilege forms, sends reference letters, sends hospital verification letters,Ensure all JC and NCQA standards are met while processing.

Hendersonville, TN

Process Outlier/High dollar accounts for HCA facilities being billed to MedicareResolve issues for DRG benefits exhaust high dollar accounts Verifies payment will be received by Medicare for HCA FacilitiesMaintain contact with facilities to verify all coding is correctOnce payment has been received issuing remaining balance to secondary payorsMultitasking.

Eden Prairie, MN

Initial position Gap Claims Filing/Post Gap Processor for GMACProvide customer service through phone, e-mail, and standard mail Contact with insurance companies to verify all claims process complete Quality and accuracy review of all claims to finalize and closeTermination of customer leases for GMAC and Nissan CanadaRe-Initiate billing cycle for customers.

Bachelor'S Degree, Healthcare Management

Associate'S Degree, Business Management