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Provider Enrollment Specialist

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Country: United States
ZIP: 30906
Salary: 30,000. yrly
Posted date: 3/28/2008   all resumes
Contact Info: **********@*******.***
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Resume Text:

Seeking a responsible and challenging position where knowledge will be fully utilized and further developed.
**/**** – Present Medac, Inc. Augusta, GAProvider Enrollment Specialist§ Receive information from the Managed Care Department to create a profile of a new group. n Credential Healthcare Providers and enroll them individually with each contracted carrier.n Create a tracking device to follow the application process in 3 software applications.n Create a filing system to keep credentials/applications organized for future reference.n Re-Credential established providers with contracted carriers.n Answering incoming and making outgoing calls.04/2001-12/2006 Billing Specialistn Process claims to insurance carriers and other payers.n Research payment status and follow-up on unpaid/underpaid claims.n Maintain A/R reports and daily analysis/follow-up.n Review patient charges/accounts for accuracy.n Post payments to patient accounts.n Communicate with patients to resolve issues regarding obsolete account information or unpaid balances.
1993-2001 Medical College of Georgia Augusta, GAHealth Information Management Service Clerkn Scheduled patients for fluoroscopy study.n Provided customer service to patients as well as clients.n Retrieved x-ray files for clinic.n Trained and supervised new employees.
Augusta Technical College Augusta, GAn Medical Office Specialist Glenn Hills Comprehensive High School Augusta, GAn College-Prep Diploma
Typing: 45 wpm Software: Microsoft Office Suite (Word, Excel, Access, Outlook); experience with Medical Billing applications
n Detail-oriented, efficient and organized.n Motivated self-starter with strong analytical skills.n Outstanding interpersonal, written and verbal communication skills.n Ability to work well as team player and under limited or no supervision.n Resourceful in the complettion of projects and multi-tasking.n Highly trustworthy, honest, ethical, goal-driven and reliable.

§ 2351 RICHWOOD DRIVE• AUGUSTA,GA 30906 • PHONE (706)***-****

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