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Patient Access Provider Enrollment

Location:
Mobile, AL
Salary:
40,000
Posted:
March 01, 2024

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Resume:

Brittany Lang, M.Fin

**** *** ***** **, ***. I**

Mobile, AL 36608

251-***-****

ad31t8@r.postjobfree.com

Profile: Dedicated healthcare administration professional with a Master of Finance and a Bachelor of Accounting, seeking a position that leverages my comprehensive education and skills. Eager to contribute to the efficient operation of healthcare and accounting services, I am committed to professional growth and bringing a wealth of experience to a dynamic role in those core fields.

Core Competencies:

Process Optimization & Lean Implementation

Patient Access Processes

Health Insurance Verification

Moderate Credentialing and Provider Enrollment experience

Technology Integration & Validation

Compliance & Regulatory Adherence

Quickbooks experience

Cash and POS collections

Medical Account analysis

Cerner and Invision EMR experience

Phreesia & MDStaff experience

Education:

Master of Finance, Columbia Southern University, October 2018

Bachelor of Accounting, Jacksonville State University, June 2013

Associate of Business Administration, Faulkner State Community College, May 2011

Diploma, W. P. Davidson High School, May 2009

Professional Experience:

USA Health – Provider Enrollment Specialist

July 2023 – December 2023

Review and verify healthcare provider credentials, ensuring compliance with medical terminology and industry standards.

Maintain accurate and up-to-date provider information in the credentialing database.

Complete and submit provider enrollment applications to various payers.

Ensure timely completion of the enrollment process by gathering and reviewing necessary documentation.

Stay updated on changes in payer enrollment requirements and regulations.

Communicate effectively with providers and payers to ensure smooth enrollment processes.

R1RCM (Providence Hospital), Mobile, AL - Patient Access Coordinator

September 2021 – July 2023

Coordinate patient access activities, including registration, billing, and scheduling.

Serve as the Information Center for staff, physicians, and the community.

Assist in goal establishment and implementation for the department.

Identify process improvement opportunities and offer recommendations to management.

Collect and analyze financial data, run various reports for management review.

Coordinate and assist in processing contracts with outside vendors and business associate agreements.

Collaborate on departmental projects with management and clinicians.

Builds partnerships and works collaboratively with all areas of the revenue cycle, clinical, and administrative teams to meet shared objectives and goals.

R1 (Providence Hospital), Mobile, AL - Patient Access Representative

February 2017 - November 2021

Acted as the intermediary for the Patient Access team and clinical departments, ensuring efficient daily operations and adherence to policies.

Achieved KPI targets for A/R performance, collections, and denials mitigation.

Collaborated with revenue cycle leaders to drive continuous improvement and quality service.

Managed budget, provided HR guidance, and represented Patient Access on committees.

Delivered actionable data through root cause analysis to identify process gaps.

Shekinah International Worship Center Inc. Mobile, AL - Financial Assistant

August 2013 - Present

Complete weekly contribution deposits, prepare financial reports.

Manage accounts, bills, and invoices, reconcile bank statements.

Close end-of-year records, purchase equipment and services, maintain financial records using Quickbooks.

Other Relevant Experience:

Victoria Secret - Sales Support (April 2014 - November 2019)

Easy Money Mobile, AL - Customer Service Representative (September 2014 - February 2017)

University Oaks Retirement Home Mobile, AL - Server (June 2013 - August 2014)

Alorica Saraland, AL - Customer Service Representative (August 2013 - October 2013)



Contact this candidate