Maria Escobar Email & Phone Number

Buffalo, New York, Us

• Primary resource for assigned providers and groups to establish, oversee, and maintain positive relationships by assisting with/or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

Miramar, Fl, Us

• Proactively pursue new contracts with payers across the nation• Update CAQH profiles for physicians in all states• Contact physicians for required documents• Obtain and store contracts, contact information, and fee schedules in an orderly fashion• Facilitate payer calls to address contracting and credentialing issues• Maintain charge and fee schedule updates • Analyze provider contract linkage • Prepare recommendations for process improvement opportunities• Analysis of specific payors, including contract language, to prospectively identify effective contracting methodologies• Identify and report to senior leadership new payer contract protocols to identify processes for obtaining contracts• Utilize contract rate negotiation strategy • Works collaboratively with peers and senior management to ensure business needs are being met• Create reports identifying when a payer is not adhering to contract obligations• Process facility credentialing applications; coordinate with physicians and facility contact in making sure application is complete and physician is credentialed.• Assist Physician Onboarding Coordinator in onboarding physicians accordingly to start date; emailing introduction emails, completion to Modio profile, malpractice, technology and mileage protocol, verifying references. QA all information and process to training.

Miramar, Fl, Us

• Assist Vice President of Operations in contacting payers and setting up meetings to introduce the practice and value proposition.• Submit letters of interest to commercial payers and follow up with the payers.• Actively work to establish the Vohra brand among multiple verticals within a payer organization.• Support the development of alternative payment-based models.

Us

• Assist in maintaining a high level of customer satisfaction through homeowner visits to the office and through phone etiquette at Seven Bridges by GL Homes.

Sunrise, Fl, Us

• Facilitates a seamless new hire on-boarding process for new and existing candidates.• Act as a key contact for all issues related to on-boarding and monitors progress, works with clinicians when needed to coordinate on-boarding efforts. Also, includes interdepartmental communication with administration and credentialing to ensure a smooth hiring process for the new candidates.• Sending out new hire welcome packets containing required payroll forms, I-9s, benefits information, and other basic company information.• Provides continual professional contact with the new hire on instruction for each onboarding requirement• Coordinating and tracking pre-employment screening requirements such as background checks, drug screens;• Act as a resource for new employee's general questions.• Ensure all required onboarding paperwork is complete and filed.• Works closely with recruiting and credentialing department.• Manages electronic new hire Onboarding system.

Coral Springs, Florida, Us

• Research and develop a relationship with insurance companies to negotiate new commercial insurance contracts for the company. • Complete provider credentialing and re-credentialing applications for government and commercial insurance companies; monitor applications and follows up as needed. • Review new provider agreements, and based company guidelines prepare an analysis of the contract’s terms and conditions. • Ensure contracts are implemented according to the contract terms.• Remain knowledgeable of Medicare policies and federal/state regulations that affect activities, and maintain compliance with same.• Manage the administrative duties of tracking all government and commercial insurance contracts.• Maintain compliance with Health Insurance Portability and Accountability Act) HIPAA for all work.• Assist with new application and renewal of state licenses and state registration.• Maintain the setup of electronic claims, ERA and EFT with insurance companies.

Ft. Lauderdale, Fl, Us

Focused full time for one semester.

Knoxville, Tn, Us

• Conducting candidate screening activities which include coordinating interviews, entering resume information, background check, sanctions check, reference verifications, reimbursement processing• Coordinating the distribution of new hire documents; clinician benefits packet, lab coats, business cards, W4, I9, employee handbook attestation and acknowledgement • Obtain all documents required by the facility in order to start process• Preparing clinicians documentation file for credentialing department and provider enrollment• Monitoring timely and accurate completion/return of applications • Coordinating with Credentialing to monitor Medical Staff Office (MSO) processing • Facilitating reimbursement processing for Clinician relocation• Coordinating introduction to Scheduler and monitor completion of Scheduling Setup and Facility Orientation• Ensuring follow-up is completed such as first shift work, first paycheck, birthday celebration and anniversary.

Sunrise, Florida, Us

• General administrative duties including on-line research, follow-up on status of pending open items; periodically update OOS managed care plan contacts • Preparation of contract and supporting documents for final approval• Retrieve and review Managed Care plans

Saint Louis, Mo, Us

• Maintain and update provider data applications and coordinate the data verification process for providers enrolled in networks• Oversee and coordinate operational and administrative activities associated with provider relations, including provider education and liaison responsibilities, marketing, promotion, and facilitation of credentialing and certification• Manage and resolve complex provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests• Design and generate reports to monitor department activity.

Sunrise, Fl, Us

• Contact health insurance carriers to verify claim status and/or eligibility, reprocess claim and/or appeal claim.• Identify claim denial then prepare appeals with correct letter heading and proper documents to support.• Contact parents to obtain correct health insurance information therefore can submit claim for process and payment.• Meet departmental productivity standards.• Provide excellent customer service to incoming callers or voice messages, and appropriately respond to all questions.• Ensure new and/or updated claims are submitted when appropriate to the insurance carriers• Communicate with an effective, professional demeanor and function independently.

Miramar, Fl, Us

• Receiving fax from physician and inputting patient’s demographics information.• Verify billed information inputted & then submit to insurance company with additional or corrected information if necessary.• Analyze and evaluate aged account receivable; examine invoices for improper denial and payments; verify accuracy of payments.• Process each account by performing the following collection actions as appropriate.

• Provide Medical Review on Medicare Set-Asides (MSA’s)• Obtain and properly incorporate into the MSA reports any current, relevant information obtained from appropriate sources.• Review calculations and demographic information for accuracy perform assigned tasks and functions according to Gould and Lamb Requirements.

Deerfield, Il, Us

• Provide customer service, cash handling and stocking products• Assisting customer with any needs serviced from Walgreens• Maintain order request either from pharmacy or photo in a timely manner