Diane Gursel

** ***** ****

Pine Bush, NY *****

adtaly@r.postjobfree.com

914-***-****

My objective is to gain employment with an organization or corporation that allows me to showcase my professional abilities.

Work History:

Mind Dynamics, LLC

March 2013 – May 2022

34 South Broadway, White Plains NY10601

Reported to Sevgi Sauers, MD

adtaly@r.postjobfree.com

Position: Credentialing Administrator

Responsibilities:

Over seen daily administrative and provider credentialing services

Managed multiple departments:

Provider / Clinician on-boarding for five Practice locations in Westchester County and New York City. Maintained provider credentialing for all 5 service locations including 2 hospital and 1 nursing home.

Conducted all administrative training to all 1099 and W2 employees.

Over seen billing of claims CPT and ICD-10 protocols along with weekly and monthly reports.

Maintained monthly reports for department budgets via Microsoft Excel and Microsoft Word, Epic and Crystal reports.

Trained with specific protocols of NY State Medicare and Medicaid insurance regulations, as well as commercial and private insurances.

I have strong project management skills. I complete tasks with minimal guidance. My strongest asset is my ability to multitask, prioritize, and have exceptional skills.

I have extensive knowledge with multiple billing & EMR programs. I am trained and certified with Medisoft, Practisoft, Medical Manager along with their respective clearing houses through revenue cycle management.

Maintained provider credentialing in CAQH & Microsoft Excel for 47 doctors monthly. Experience with using the New York state website for licensures, DEA certificates, applying for and maintaining medical malpractice certificates, NPI with the national provider enumeration website systems. Knowledge of tracking ECFMG certificates, New York State board certifications and State reprimands.

Experience negotiating insurance contracts for provider participation with HMO, Commercial, and government insurance panels. Negotiated provider contract fee schedules for services.

Conducted other non specific duties regarding clerical and employee trainings.

Child & Family Behavioral Health / Therapy Center of NY- November 2004 - March 2013

200 East 33rd street suite 25J New York, NY 10016

Reported to Subhash Inamdar, MD

adtaly@r.postjobfree.com

Education:

Long Island University BS 2004

Hipaa Compliant Officer 2011

Healthcare Management certification 2012

Software:

Microsoft Word, Excel, Power Point Avility, Medisoft, Medical Manager, Crystal Reports,Electronic medical records (EMR), Epic

Hobbies:

Riding horses, home DYI projects, Love spending time with Family.

Contact this candidate