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Provider Enrollment Specialist

Location:
Thompsons Station, Tennessee, United States
Posted:
October 15, 2018

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Resume:

Ruby Barnhill

**** ******* ***** **.

Thompsons St. TN, 37179

Phone: 615-***-****

Email: ac7dyc@r.postjobfree.com

OBJECTIVE: To work in an interesting position with a growing and respectful Company.

QUALIFICATIONS

Great computer skills, proficient with Excel Spreadsheets, Word Documents, PowerPoint Presentations and Microsoft Outlook. Accounts Receivable experience and balancing to reconciliation reports. Good People Person with lots of coaching skills, also customer/patient focused. EDUCATION

1979 Page High School

COLUMBIA STATE COMMUNITY COLLEGE

Secretarial Procedures

Beginning Shorthand

EMPLOYMENT

October 28, 2016 – Present

Sound Physicians

Provider enrollment for government & commercial payers for Hospitalist providers

Hold Report – verify that provider is enrolled with payer that has claims on hold if not get application submitted

Payer Contracting – Verify report to see if any new payers have been contracted, if so, research what is needed to get my group of providers added and find out what is needed when new providers come on board.

November 17, 2014 October 10, 2016

CHS – PPSI – Provider Enrollment Specialist

Group & provider enrollments, including government & commercial payers for multiple states

Complete on-line provider enrollment applications with supporting documentation

Contact clinics for provider signatures and all required documents for completion of applications

Add a new location (s) to an existing enrollment

Track and complete revalidations when due

April 23, 2012 – November 17, 2014

CHS - PPSI - Profee - Team Lead - Clerical Rep (Intake)

Download Adt's from HMS & research when they do not link in azima software and correct process.

Upload electronic medical records into azima workflow software

Monitor & maintain work flow reports in excel

Identify & notify appropriate personal with Pro-Med, Azima and MModal when charts do not upload in Azima Operations.

Work in Hospital's software / pulling missing charts

Train & Coach team & new employees

February 17, 2007 - March 29, 2012

Dr. Max Caudill

Multi-line phones

Schedule office appointments

Schedule procedures

Input patient's current information

Input current insurance information

Sort and distribute faxes

File charts

February 16, 2004 to August 11, 2006 - Part Time

LBMC – Lattimore, Black, Morgan & Cain, PC

Time entry

o Verify that all employees have entered their time o Verify correct coding of time for employees

Accounts Receivable/Payable

o Enter daily AR and post payments

o Copy & Scan checks for back-up

o Take checks to bank

o Flash Report & Reconciliation Reports

Billing

o Prepare bills and mail to clients

1980 – 2002 BellSouth

Force Specialist – 2000 to 2002

Supervised Force Clerks

Balance employee needs verses needs of business

Monitored Territorial Access Commitments

Accuracy of Final Forecast – Schedules for 9 offices

Balance Access Results & Overtime Requirements

Provide Support for Internal Customers

Auto Quality Administrator

o Scheduled AQ Sessions

o Maintained Data-Base & Reports

Secretary – 1996 - 2000

Provided secretarial support for VP/GM & Staff

Handled correct direction of correspondences and follow-up for completion

Scheduled appointments & meetings for VP/GM

Arranged travel arrangements and prepared expense vouchers

Planned & organized yearly conference for 100 Managers

Typed Power Point presentations for VP/GM

Created Excel spread sheets for tracking purposes

Typed letters & memo for VP/GM

Administrative Reports Clerk – 1991 - 1996

Sales Reports

o Weekly & Monthly Reports

Monthly Diagnostics Reports

Staff travel arrangements

Bills & Voucher preparation

General clerical duties

Special Projects

Service Order Typist – 1980 – 1991

Type Service Orders

Edit Errors

Verify Orders

Training

References available upon request



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