Office Manager Program Coordinator in enrollment and credentialing
Resume:
Kelly Fitzpatrick Skidmore
Louisville, KY 40220
************@*****.***
www.linkedin.com/in/kelly-skidmore-310451367
Seeking a full-time position as an Office Manager in the Behavior or Medical field.
Experience
JULY 2019 – AUGUST 2021
Benefits Specialist / Heartfelt Solutions, Louisville, KY
Set up Licensed Behavior Analysts into CAQH Proview, keeping them active by uploading needed documents and attesting. Verified subscribers benefits and obtained assessment authorizations followed by treatment authorizations per the insurance guidelines and regulations.
OCTOBER 2014 – DECEMBER 2017
Insurance Program Coordinator/Clinical Behavior Analysis CBA, Louisville, KY
Credentialed 25+ Behavior Analysts through CAQH Proview, verified patient eligibility for insurance funded ABA therapy, scheduled appointments, maintained client & provider records through EHR software. Obtained initial treatment authorizations through MCO Portals and managed concurrent authorization reviews. Held Analysts accountable to meeting key on-time performance metrics per insurance billing requirements as well as Revenue Cycle Management.
SEPTEMBER 2012 – OCTOBER 2014
Administrative Assistant/Clinical Behavior Analysis CBA, Louisville, KY
Audited BA’s clinical notes and billing data to ensure compliance with Medicaid regulations. Scheduled appointments and maintained shared appointment calendar.
SEPTEMBER 2012 – OCTOBER 2014
Behavior Technician / Clinical Behavior Analysis CBA, Louisville, KY
Worked 1-on-1 with children and young adults with special needs on their behavior plan, goals, and daily living skills out in the community. Documented progress notes and milestones.
Skills
Microsoft Office • CAQH ProView • One-on-one ABA Therapy • Benefits • Credentialing • Administrative Duties • Office Personnel Management • NPPES • MAP 347 • MAP 811 • MCO • Private Insurance
Education
JUNE 2005
High School diploma/Morris Hills High School, Rockaway, NJ
Activities
Outdoor Activities • Fitness • Health & Wellness • Travel • Photography
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