Sherri Marrapode Email & Phone Number

Simpsonville, Sc, Us

Simpsonville, Sc, Us

Extensive background in Provider Credentialing and Managed Care. Highly motivated, organized, and detail oriented leader with experience in project and team management, as well as knowledge of NCQA, Medicaid and Medicare regulatory standards.

Greenville, Sc

A Managed Care Organization supporting both Medicare and Medicaid for South Carolina.; Responsible for managing operations of all provider credentialing ensuring compliance with National Committee for Quality Assurance (NCQA), South Carolina Department of Health and Human Services (SCDHHS), Center of Medicaid/Medicare Services (CMS), and other regulatory standards. Managed Credentialing Staff of 6 including;Credentialing Specialist I, Credentialing Specialist II, and Data Quality SpecialistManaged and coordinated functions related to the credentialing and re-credentialing of health care providers and / facilities, which included:•Facilitated Credentialing Committee activities.•Oversaw the credentialing and re-credentialing of all physicians, mid-level practitioners, delegates, and organizational providers according to the plan specifications.•Monitored staff productivity and manpower needs relevant to network volumes.•Oversaw delegation agreements and facilitates delegation audits.•Routinely audit budgeted items and vendors.

Brentwood, Tn

Greenville, Sc

2010 A Medicare Advantage Plan in the state of South Carolina; Responsible for the day-to-day management of in-house credentialing activities. Served as liaison with external delegated credentialing agencies. •Reviewed credentialing applications, obtained all verifications, managed the “in process” spreadsheet, level and prepared credentialing files to be approved. Inside Sales/Agent Assist Department – Customer Service: Responsible for business-to-business and business-to-consumer sales; overseeing call center employees and taking excessive inbound and outbound calls from perspective members, current members, and Sales Agents to verify eligibility in a Medicare Advantage Plan, set sales appointments, provide benefit information to members as well as customer service.

Winchester, Va

Assisted VP of Marketing and Sales in the design and implementation of a strategic business plan to significantly grow market presence in a previously underperforming market segment. Actively participated in an orderly absorption of new customer accounts following an acquisition of a competitor.•Managed account acquisition & retention, negotiated sales and maintained margins averaging 13% to 18%.•Prospected 20 new leads per week with a closing rate of 12% to 15%. Consistency ranked #1 out of team of 6 in qualified customers.•Obtained customer, market, and competitive intelligence to formulate sales and marketing strategies

Bachelor Of Science Degree, Marketing

Education record