Driver License Allied Health

MARYDEWOSKY

Phone:706-***-****

EMAIL:********@***.***

DearHiringManager,

IlocatedyourjobpostingwhichIbelievemyskillsandstrengthsareanexcellentmatchforthisposition.Some ofthekeycompetenciesIcancontributetotheopportunityinclude: CredentialingSpecialist-InitialandReappointmentapplications.VerificationofEducation,Board Verification,CriminalBackground,Employment,CV,AMA,CaseLogs,CPR,Passport/Driver License,DEA,ECFMG,HospitalVerification,MalpracticeCOI,StateLicenses,PeerReferences, SSDMF,SSCard,VaccineCovid/Flu.CPRCards,IntendedPracticePlan. ExtensiveexperiencewithMicrosoftWord,Excel,Fax,Scanner,andotherofficeequipment. Proficientintyping.

ProviderEnrollmentSpecialistExperience-·Experiencedinenrollingproviderswithallcarriereither bysubmittingapplicationsorlettersofrequesttobeaddedtocontract.Goodcommunicationskills amongco-workersandveryopentolearning.Greatcomputerskills,word,excel,adobe,MDStaff, IDXbillingsoftware,professionalappearanceanddemeanor.Resolveanyproviderenrollmentissues. KnowledgeableofHIPAAguidelines.Pecos(Medicareenrollment)onlineaswellaspaper applicationsexperience,numerousstateMedicaidenrollments,Timemanagement,attentiontodetail, priorityfocused.Excel,Word,PowerPoint,Microsoft,Scan,Outlook,Fax,multitudeofenrollment portals,CAQH,Medicaid,Medicare,NPPES,CreationsofNationalProviderIdentifier. AccountReceivableExperience-

Submittingandfollowinguponmedicalclaims.Contactcarrierstoresolvebillingissues.Review claimsforaccuracyinICD-10codesbeingbilledandcarrierspecsifpayable. Verifypatienteligibilityfordateofserviceandservicescovered.High utilizationofphone,webportalsourcesandresearchskills.Positive attitude,Patientandcarrierpaymentposting.Customerservicewith theintentforresolutionsbyexplainingtheissueinacourtesymanner. PleaseseetheenclosedresumeforyourconsiderationandIwould welcometheopportunitytodiscussyourneedsandmyabilities. Thankyouforyourtimeandinterest.

MaryDewosky

706-***-****

Phone:(706}619-6309

Email:********@***.***

• CredentialingSpecialist:-InitialandReappointmentforHospitalCredentials,MD,DO,Allied Health,Psych,PhysicalTherapist,Oto,Surgery,Anesthesiaandothernewprovider credentialing.

• Receptionistduties:Answertelephone,takemessages,relayorrecordinformationreceived, anddistributeorfiles

• Workfromstandardandspecialofficeprocedures,clericaltraining,jobknowledgeand supervisorydirection.

• Performadministrativeorclericalfunctions.

• Receive,sort,file,check,correct,stampandlogawidevarietyofclassifiedorunclassified documentssuchasmemorandum,letterscomputerruns,controlandtransfersheets,

• forms,etc.

Establishandmaintainfilingsystems.

• Operatecomputertoresearch,input,updateorchangedata

• Produceandtypeavarietyofforms,letters,memorandumandrelatedcorrespondence

• Maildistributiontoappropriatedepartmentsareas.

• Establishandmaintainlogsandfilesonactivitiesandpreparereports.Duplicateandfile informationanddistributiontoappropriateareas.

• Check,editandassigncodestoavarietyofdocumentsasrequiredtoensurestandards aremaintained.

• Receivematerialfromotherdepartmentsorgroupsintheformofvariousmediatypes,fax,

• reports,andmanuals.

• Maintainanup-to-datefileonalldatareceived,ensuringthatproperrecordsarekeptonall informationreceived.

• Communicatewithavarietyofpersonnelthroughouttheorganizationandprovideandreceive information.

• Operateoruseequipmentsuchascomputers(includingsoftware),faxmachines,variousmedia readers,copiers,scanners,telephoneequipment,andotherrelatedofficeequipmentand supplies.MSOfficework,excelspreadsheets,powerpoint.

• CreatedocumentsandpresentationsutilizingMicrosoftOfficeproductssuchasZOOM,Word, Excel,andPowerPoint,Scan,fax,importandexportdocuments.

● VirginiaCollege,Augusta,GA.

AssociatesDegreein

Science/Healthcare09/2012

● SanJacintoCollege-Houston,TX-OneyeartowardAccountingDegree ProfessionalExperience:

ManagementServicesNetwork-9/2023-Current-Columbus,GA Firstpointofcontactfor providersonceNewHirewhennotificationsarereceived.Obtain credentialsandallnecessaryinformationtocreateMedicalEnrollmentApplications.Obtain providersignatureaccordingtocomplianceguidelines.SubmitandFollow uponMedical Plans.CommunicatewiththeBillingDepttoresolveanyenrollmentissues. CredentialingSpecialist-MCG-AugustaUniversityMedicalStaffOffice MedicalStaffOffice-03/2019-03/2023

VerificationofEducation,BoardVerification,CriminalBackground,Employment,CV, AMA,CaseLogs,CPR,Passport/DriverLicense,DEA,ECFMG,HospitalVerification, MalpracticeCOI,StateLicenses,PeerReferences,SSDMF,SSCard,VaccineCovid/Flu. CPRCards,IntendedPracticePlan.ExtensiveexperiencewithMicrosoftWord,Excel, Fax,Scanner,andotherofficeequipment.Proficientintyping.IDXhospitalbilling,MD StaffMedicalOffice.

ProviderEnrollmentSpecialist-MCG-AugustaUniversityMedicalStaffOffice 03/2019-03/2023-Enrollmentwithstateandcommercialcarriers,re-credential/revalidate. CAQH,NPPES,PECOS,directcontactwithprovidersandcarrierstoresolveenrollmentand obtainpertinentinformationUpdatedONEAPP,MDSTAFFANDIDX,billingsoftwarewith ProviderIDnumbers,SetupadditionallocationsinIDXsystem.ProficientwithWord,Excel spreadsheets.SubmitweeklyreportstotheCEOandhisstaffforconfirmationofenrollment. Updateprovidercredentialinginformation.Allaspectsofmaintainingandprovider enrollment.

ProviderEnrollmentSpecialist-Medac-07/2017-03/2019NorthAugusta,SC RehiredatMedac-StatesPEExperience:CA,TN,MO,NC,IL,AL.OK,GA,SC,MS,FL,NJ MedicalPlanAnalyst-CCFMG/UCSF Fresno,CA 09/12/2016-08/2017 EnrollproviderswithCommercialandStateMedicalPlans,Obtaincredentialsandcorrespond withproviders-traveltoUSCFtoobtainsignaturesFollowuponMedicalPlans,Createand maintainCAQH,UpdateNPPES,DEA&MedicalLicenses.CommunicatewiththeBilling Departmenttoresolvebillingissues.

ProviderEnrollmentSpecialist-MedacAnesthesia

06/2015-09/2016NorthAugusta,SC

06/2015-09/2016Firstpointofcontactfor providersonceNewHirewhen notificationsarereceived.Obtaincredentialsandallnecessaryinformationtocreate MedicalEnrollmentApplications.Obtainprovidersignatureaccordingto complianceguidelines.SubmitandFollow uponMedicalPlans.Communicatewith theBillingDepttoresolveanyenrollmentissues.

AIRBillingSpecialist01/2013-06/2015-MedacAnesthesia

(TransferredtoProviderEnrollment)Medicalbilling.ReadingEOBs.Insurance verification,customerserviceandpaymentrepresentative.Responsibleforappeals, underpaidclaimsandpostingcarrierpayments.

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