Betsy A Perez
**********@*****.***
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