SHERRI RENEE MITCHELL

Raleigh, NC ***** (***) *07- 8711 adxx6f@r.postjobfree.com

https://www.linkedin.com/in/sherri-mitchell-63b55832/

MEDICAL CREDENTIALING ANALYST

Hospital Billing• Healthcare Management & Strategic Planning • Payer Relations

Value-driven and seasoned professional accustomed to addressing inquiries from providers and POs, as well as interfacing with internal and external customers on day-to-day credentialing and privileging issues as they arise. Contributor to performance management targets by maintaining the average handling time and adhering fully to scheduled breaks/rosters. Ability to use independent judgment to manage and impart confidential information and demonstrate expertise in hospital billing. Proficiency in compiling documents, researching and verifying provider backgrounds while acting as a liaison between the Medical Board and provider, obtaining updates on application status, and reporting progress. Demonstrating professionalism in requesting and verifying documentation and information for medical school, internship and residency, licenses, hospital privileges, recommendation letters, federation clearance, AMA profiles, FLEX or National Board scores, previous employment, undergraduate school transcripts, and state endorsements.

Signature Strengths:

Healthcare Information Technology • Medicare & Medicaid • Public Health • HIPAA • Team Leadership • Healthcare

Consulting • Medical Billing • Collections • Patient Safety • Health Insurance• Marketing Strategy • Records & Documentation

• EMR & Epic Systems• Medical Terminology • Salesforce • Training & Development • Relationship Building

Professional Experience

HCL Tech America Dec 2020 – Present

Medical Credentialing Analyst

Overview: Hired to leverage credentialing or provider file maintenance expertise for various health plans while demonstrating the ability to remain calm in potentially stressful situations with medical professionals. Verify the medical licenses using primary source verification (PSV) to contact the required boards for qualifications.

Influences customer satisfaction score by delivering an exceptional customer experience while complying with policies and procedures.

Modernizes capabilities within the organization through driving high KPI performance in a US health care process.

Tasked with the responsibility of working on the CAQH project, a healthplans database for providers to enter their information.

Curi-a Medical Mutual Company Raleigh, NC Oct 2018 – Dec 2020

Credentialing Specialist

Overview: Recruited to provide optimal oversight in processing applications and reappointment paperwork with utmost professionalism.

Championed the process of handling verification and accreditation information while ensuring proper database management and updates for practitioners and facilities.

Masterminded efforts to utilize the system for entering and maintaining Provider applications, contracts, and updates.

Visiting Nurse Service of New York, NY Oct 2010 – Jul 2018

Insurance Coordinator

Overview: Designated to drive growth by executing strategic initiatives focused on promptly completing computer-generated and manually prepared billing.

Promoted growth through researching and processing denials, including insurance verification.

Turned around poor performance by utilizing appropriate documents, such as I9s and NPIs, for reconciling data input.

Health Care Partners, Inc, Garden City, NY Jan 2004 – Jul 2010

Licensed Sales Specialist-Senior Plans

Overview: Demonstrated mastery in scheduling appointments while fostering and maintaining solid relationships with prospects to evaluate strategic plans.

Leveraged expertise in driving corporate sales objectives in alignment with strategic development plans through cross-selling company's events and health plan events and facilitated home visits.

Laid groundwork for improving the execution of various marketing events while enhancing the functional knowledge of eligible (Part A & B) prospects to enroll them into contracted health plans that meet their needs.

Stericycle, Inc., Roslyn Heights, NY Sept 2000 – Jan 2004

Senior Representative/Collections

Overview: Piloted the process of maximizing product sales and maintained consistency in addressing various issues in collaboration with the sales force.

Education, Licensure & Certification

York College, Jamaica, NY

Major: Business

NYS Insurance Accident & Health

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