Information Quality
Resume:
Brian Hermundstad
Fitchburg, WI 53713
**********@*****.***
Career Summary
Flexible to work longer hours, able and willing to learn new things. Worked effectively with co-workers as a team and clients alike. Excellent attendance record. Responsible, reliable and friendly. Attention to detail. Worked with highly confidential information (PHI). Good communication and interpersonal skills. Ability to multi-task. Punctual to work every day.
Experience
Hewlett Packard Enterprise - Madison, WI - Provider Enrollment Clerk (1998 - 2017)
●Reviewed and processed Medicaid provider enrollment and revalidation applications for completeness and accuracy within the 10 day deliverable deadline, ensuring DHS approved enrollment criteria and procedures for each program type are met by the providers, in addition to ACA and other federal requirements.
●Performed daily verification of keyed data for 98% accuracy, per State guidelines and notifying the appropriate PM Clerk of errors for correction. Data entered to maintain an accurate database.
●Updated and maintained accurate provider files in interchange system to include documenting information such as provider addresses, Social Security numbers, Tax Identification numbers, Medicare numbers, any past cancellations or sanctions, any changes to the provider file, and pay to information.
●Responded to phone calls or written correspondence received from providers relating to enrollment issues as needed. Mailed letters for corrections.
●Ensured all departmental and Medicaid, WCDP and WWWP program quality and quantity standards are met.
●Researched and compiled Effective Date Appeals for DHS.
●Trained new employees on how to accurately key an application and to follow the online instructions for on each provider type (physicians, chiropractors, audiologists,etc).
Education
University of Wisconsin, Oshkosh, WI - Bachelor of Science degree
Skills/ Interest
Proficient with Personal Computers, Windows 7,8, 10, Excel, Word.
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