OLGA BOGONOVSKAYA

Brooklyn, NY *****

ad4c0s@r.postjobfree.com

347-***-****

Work Experience

Senior Enrollment Specialist

SYMPLR - Houston, TX

August 2023 to February 2024

Senior Enrollment Specialist - responsible for coordinating all activities related to the enrollment of health care providers into

Medicare programs. Manage all aspects of the provider enrollment and credentialing process, including initial applications, re- credentialing, and maintaining provider information in all necessary systems. Coordinates with insurance payers to complete provider enrollment applications. Works with healthcare providers to complete necessary paperwork and answer questions about the enrollment and credentialing process. Maintains accurate records and ensures that all credential documents are current and comply with industry standards. Work collaboratively with other departments to resolve credentialing and enrollment issues

Credentialing Specialist

Englewood Medical Center/ Caduceus Health - Jersey City, NJ May 2019 to June 2023

Credentialing Specialist /Provider Enrollment - Review documentation appropriate for Credentialing process, coordinate and maintain files for credentialing of network providers, contacts, physicians’ licenses, DEA, CAQH. Credentialing: Responsible for all aspects of provider credentialing and re- credentialing. License Renewals: Ensures that physician licenses are renewed prior to expiration. Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence. Records Management: Maintains assigned physician files, updating each item/action as processed. Utilizes database status/alert and other report functions, software tools and links to scanned documentation. Ensures that information is current and accurate. Back-up Coverage: provide credentialing back-up for other members of the credentialing group Credentialing Specialist

Acacia Network - Bronx, NY

December 2015 to December 2018

Credentialing Specialist /Provider Enrollment - directed, coordinated, and monitored the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Assumed responsibility for conducting background investigation, research, and primary source verification of all components of the application file. Identified issues or problems that require additional investigation and evaluation; validated discrepancies and ensured appropriate follow up. Processed requests for privileges and ensured compliance with criteria outlined in clinical privilege descriptions; organized/conducted internal file audits.

Responded to inquiries from other healthcare organizations; interfaced with internal and external customers on credentialing and privileging issues. Credentialing Coordinator

Pier 17- Brooklyn NY - Brooklyn, NY

January 2015 to December 2015

Credentialing coordinator /Provider Enrollment - reviewed files for appropriate documentation required for the credentialing process; prepared files for audits and maintained electronic data input activities. Coordinated credentialing and re-credentialing applications and conducted document research; organized documents for Credentialing Committee review. Gathered and maintained files in relation to credentialing of network providers including application, contracts, current physician licenses, as well as DEA licenses. Acquired comprehensive knowledge of related accreditation and certification requirements; interpreted research findings and prepared reports. Established and maintained strong working relationships with clients, staff members, and the management team; ensured compliance to policies and procedures.

Administrative Assistance /Front Desk Clerk

BCFC - Brooklyn, NY

January 2013 to December 2014

Greeted patients and scheduled/confirmed patient appointments; organized and facilitated office support services to guarantee efficiency. Performed data entry into the MAIS software system and maintained the common filing system; received, directed, and passed on messages. Directed and coordinated the repair and maintenance of office supplies and equipment; provided administrative assistance to the Office Manager. Computed, recorded, and proofread data and other information, such as records or reports; monitored and supported the work of lower-level clerks. Executive Assistant to the President

Inbar Group, Inc - New York, NY

January 2008 to June 2013

Provided executive-level administrative support to the president of a business brokerage firm serving clients in New York,

New Jersey, and Connecticut. Created and implemented a new marketing control system that resulted in sales efficiency and reduction of processes from 6 months to 2-3 months. Edited and improved visual appearance of the company's websites; provided clerical support including filing, document sorting, and data entry. Assumed responsibility for training and supervising newly hired company employees; designed and implemented data management systems.

Education

Certificate in Medical Billing and Electronic Records Administration State University of New York BEOC

October 2018 to June 2019

Bachelor of Science in Accounting and Audit

The Russian Economic Academy - Москва

Skills

• Medical Billing

DME

Medical Insurance (5 years)

Insurance Verification (5 years)

Medicare (7 years)

Hospital (5 years)

Managed Care (6 years)

Onboarding (2 years)

Certifications and Licenses

Medical Billing Certification

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