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Customer Service Human Resources

Location:
Cuyahoga Falls, OH
Posted:
September 29, 2023

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Resume:

AMY M. PETRY

Cuyahoga Falls, OH ***** Phone: 330-***-****

Email: adz1py@r.postjobfree.com

Experienced medical practice support professional with specific focus areas of medical billing

& coding, physician credentialling, revenue cycle control, training, and general practice management functions.

EXPERIENCE

8/2022 TO PRESENT

CONTRACT CREDENTIALING SERVICE PROIVDER

AMP CREDENTIALING

Provide contracted credentialing services to various business medical entities.

Oversee credentialing & licensing of new and current providers.

Assure physicians and providers are properly set-up with private and public plans.

Provide consulting services to clients specific to the credentialing process. 3/2021 – 9/2023

CREDENTIALING & LICENSING ADMINISTRATOR

PSYCH360

Process all incoming mail: open, sort and scan into SAI and Annie.

Manage and process bank deposits including insurance reimbursements.

Order office supplies and third-party print services.

Support Human Resource functions including recruitment of staff, send Predictive Index assessments, set-up interviews, and process reference & background checks.

Maintain Modio & CAQH for all providers.

Oversee credentialing & licensing of new and current providers. Assure DEA & licenses are current.

Coordinate DEA applications for all Nurse Practitioners.

Support student clinical rotations: Post new student info in various systems, provide direct email support services, coordinate vaccination documents including COVID, TB, & flu, create and distribute preceptor agreements, schedule and communicate info regarding orientation sessions, provide current student roster info to all staff.

Schedule new providers with various system training programs upon hire.

Manage clozapine rems training for nurse practitioners. Coordinate communication on training session schedules as offered by NEOMED.

Assist with patient insurance verification and eligibility checks.

Coordinator employee events and functions both in-house and off-site.

Set-up Continuing Medical Education sessions/lunches with various drug reps.

Make hotel reservations, as needed, for new and existing employees.

Oversee the credentialing/PCC access for Foundations Buildings.

Maintain COVID data for providers. Process info requests upon receipt. 6/2012 – 2/2021

BILLING, CREDENTIALING & INSURANCE SPECIALIST

NORTHEAST OHIO EYE SURGEONS, INC.

Managed revenue cycle functions including posting payments, electronic claims submission, appealing denials & scrubbing claims.

Maintained physician CAQH data & profiles.

Completed credentialling services for all physicians (adding new providers, information updates, etc.) for public and private insurance plans.

Requested & managed insurance referrals from Primary Care Physicians.

Verified & processed patient insurance (vision and medical) coverage.

Posted & billed ambulatory surgery center charges.

Handled office tasks including phones, patient registration, customer service duties.

Supported practice expansion following numerous acquisitions.

Generated and published various recurring financial reports (proficient in Microsoft Excel).

Trained staff (new hires and recurring) on systems and procedures. 1/2000 – 5/2012

RECEPTIONIST / PERSONAL SECRETARY

SUMMIT OPTHALMOLOGY

1/1995 – 1/2000

DATA ENTRY CLERK

BELL OPTICAL

EDUCATION

1995

GENERAL STUDIES / GED CUYAHOGA FALLS HIGH SCHOOL

SYTEMS SUMMARY & SPECIALIZED SKILLS

• MedFlow / MedFlow EMR

• Allscripts Practice Management

• Allscripts Payerpath Clearinghouse

• Athena

• ICD-9 / ICD-10

• HIPAA

• Patient Privacy

• Online claims processing (VSP, EyeMed)

• Support of expanding, multi-site medical

practice

• Detail-oriented and accurate

• Strong computer skills

• Fast learner & highly adaptable

• Exceptional customer service skills

REFERENCE INFORMATION

BRYAN BACKUS

CLINICAL PROVIDER, PSYCH360

PHONE: 610-***-****

EMAIL: adz1py@r.postjobfree.com

LORI DURKIN

MANAGER, NORTHEAST OHIO EYE SURGEONS, INC.

PHONE: 330-***-****

EMAIL: adz1py@r.postjobfree.com

SCOTT C. BIBLE

ASSOCIATE PROFESSOR OF PRACTICE

UNIVERSITY OF AKRON

COLLEGE OF BUSINESS ADMINISTRATION

PHONE: 330-***-****

EMAIL: adz1py@r.postjobfree.com

DAVID J. DIXON

DIRECTOR OF HUMAN RESOURCES

KENT STATE UNIVERSITY

COLLEGE OF PODIATRIC MEDICINE

PHONE: 216-***-**** EXT. 17523

EMAIL: adz1py@r.postjobfree.com



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