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When I was hired for this position it was a newly created position. Since my start in this position I have developed and continued to show growth in the credentialing position.
Act as a liaison between billing groups, IT and clearinghouses.
Prepared billing correspondence and maintained database to organize billing information.
Collaborate with the multiple departments to facilitate and coordinated information for provider's insurance enrollment for group and individual providers.
I encourage creative thinking, problem solving, and empowerment as part of the group to improve morale and teamwork.
Achieved high staff morale through effective communication, prompt problem resolution, proactive practices and facilitating a proactive work environment.
Developed and implemented value-added strategies for the credentialing process to increase revenue. Planned and coordinated meetings, committee meetings and staff events with insurance representatives to open lines of communication, and provide billing staff with additional information as a tools for their position.
Helped distribute payer notices and mail provider updates around the office.
Maintained good communication between department heads, medical staff, by attending meetings and synchronizing interdepartmental functions.
Compiled company information and related material and distributed it to insurance representatives for practice, or provider information changes, and updates.
Routinely collaborated with department managers to correct problems and improve services.
Monitored timelines and flagged potential issues to be addressed.
Defined clear targets and objectives and communicated them to other team members.
Diligently filed,and followed up on insurance claims.
Maintained strict patient confidentiality.
Responded to correspondence from insurance companies.
Precisely evaluated and verified benefits and eligibility.
Identified and resolved patient billing and payment issues.
Confidently and adeptly handled claim denials and/or appeals.
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Maintained current book of clients.
Cold called
Prospecting
scheduling appointments for new sales and maintenance of current clients.
Companies Worked For:
School Attended
Job Titles Held:
Degrees
Where can I find a Trihealth Credentialing Coordinator resume example in Amelia, Ohio ?
This is an actual resume example of a Credentialing Coordinator who works in the Office Management Industry. LiveCareer has 77707 Office Management resumes in its database. LiveCareer’s Resume Directory contains real resumes created by subscribers using LiveCareer’s Resume Builder.
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