Betsy A Perez

ad2agm@r.postjobfree.com

941-***-****

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

North Port, FL 34286

Skills

Strong organizational skills

Attention to detail

Database management

Strong team player

Communication skills

Bilingual – Spanish

Microsoft Softwares

Bookkeeping

Payroll

EClinicals

CredentialStream

PECOS, CAQH, CMS, NPPES

Payor Credentialing – Commerical and Government

Certifications

FLORIDA NOTARY PUBLIC

REMOTE NOTARY PUBLIC

ADMIN MEDICAL ASSISTANT

OSHA

Work Experience

CREDENTIALING SPECIALIST

PREMIER RADIOLOGY SERVICES, LLC / REMOTE

February 2023 – Present

Maintained individual provider files to include up to date information to complete the revalidation applications

Maintained and completed all primary source verifications for reappointments and databases

Processed 50+ reappointment radiology applications

Created provider letters for new credentialing software: CredentialStream

Overseen the credentialing process for over 85 Radiologist and 10 Cardiologist

Special tasks directed by Manager or Senior Lead

Assisted team members with applications for facility privileges and/or primary source verification

Communication to provider via email, text, or phone call

CREDENTIALING COORDINATOR

REFRESH MENTAL HEALTH / REMOTE

March 2022 – December 2022

Medicare / Medicaid provider and group credentialing for various states

Maintained licenses

Maintained NPPES, PECOS and CMS

Monitored revalidation for Medicaid enrollments

Created Medicaid enrollment processes for various states

Reporting via excel sheets

Primary source verification completed before enrollment process for provider or group

OFFICE COORDINATOR

TANWEER MEMON MD, PA / PORT CHARLOTTE, FL

October 2012 – March 2022

Process and maintain provider (MD and ARNP) credentials for all commercial, Medicaid and Medicare payers

Monitor all Medical Licenses for MD and ARNP

Create and maintain CAQH, PECOS and CMS databases for each provider

Collect all data and input into spreadsheets and databases

Liaison to inquiries from internal and external callers or correspondence requesting contracting and credentialing

Ensured compliance with national standards of quality organizations

Escalation Liaison for all credentialing, billing, patient complaints, hospitals, and specialist offices

Billing via ECLINICAL WORKS

Prescription, Radiology, and Procedure Prior Authorizations Implemented employee policies, patient intake, HIPPA consent form and office documents

Maintain employee vacations, time off and payroll

Medical Records Specialist

OFFICE MANAGER / MID FLORIDA PHYSICIANS

PORT CHARLOTTE, FL

July 2011 – October 2012

Prescription, Radiology, and Procedure Prior Authorizations

Patient Check In and Check Out

Patient fingerprinting and inputted all narcotic medication information into website

Maintaining patients file with necessary records and orders specified from Physician

Billing Specialist

Retrieved voice mails and faxes via Yahoo and Vonage

Handled all correspondence addressed to Doctor and Payroll

Medical Record Specialist

Payroll

Yearly employee reviews

Credentialing for MD

ELIGIBILITY SPECIALIST / ADREIMA

PORT CHARLOTTE, FL

July 2008 – June 2011

On site Interviewer for uninsured patients

Assisted patients with their application & enrollment with Medicaid, Social Security Disability and/or other Government programs

Monitored daily QUE for billing, discrepancies, letters and denials

Performed daily routine telephone interviewing and data entry

Bilingual translator (Spanish)

UNIT ASSOCIATE

ST FRANCIS MEDICAL CENTER / TRENTON. NJ

March 2007 – July 2008

Billing Specialist

Investigated, corrected and upload billing/health insurance

Communicated discharge instructions, appointments and script writing to patients

Patient intake including all orders in system

Performed daily routine filing, data entry & compile medical information

Bilingual translator (Spanish)

Handled all incoming calls, voicemails and emails

Address information to physicians and nurses

Patient sitter (one on one coverage for behavioral and safety oversight)

PREMIUM PAYMENT & QUALITY CONTROL PROCESSOR

NJ FAMILY CARE, HAMILTON, NJ

July 2005 – March 2007

Billing Specialist

Bilingual processor

Processed credit card payments, daily reports and monthly refunds

Overlooked all daily files to ensure proper payments and eligibility premiums

Escalated Liaison for the State department with any billing/premium discrepancies

Created policy and procedures for DYFS letters

Maintained reports for State department

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