Skills & Abilities
Microsoft Word Flexible PECOS
MS Excel Decision Making MD Staff
MS Outlook Medical Terminology Intellisoft
Customer Service Payment Processing Forward Health
Database Administration HIPAA Compliant Champs
Document Maintenance Multitasker CAQH
Attention to Detail Writing Cerner
Organized Collaboration IDX
Medical Office Data Entry Time Management
Provider Insurance Enrollment Specialist - Remote
Aspirus Health 04/2022–11/2024
(715) 847-2000 Wausau WI aspirus.org
- Prepare enrollment applications using various application formats, and web portal
submission to Medicare, Wisconsin Medicaid, Michigan Medicaid
- Monitors credentialing/enrollment database with applicable effective dates, to ensure
active status among contracted managed care payers
- Increased efficiency by streamlining the enrollment process, leading to faster
approvals
- Track expiration dates for all licenses and certifications, ensuring timely renewals to
avoid operational interruptions
- Utilize all resources available to obtain credentials and/or information to prepare
enrollment forms and updates
- Answered email and telephone inquiries from providers, health plans, and company
departments
- Meet weekly productivity goals set by Management
- Update and re-attest provider information in CAQH
Provider Data Specialist
SCL Health 01/2018–09/2021
(406) 238-6078 Billings MT rmhn.org
- Receive information regarding new practitioners and ensure applications are complete
and accurate
- Compile credentialing documents for review by RMHN Credentialing committee
- Upon completion of committee review, prepare provider panels, excel rosters and welcome
letters for distribution to delegated payers and office managers for enrollment as
preferred providers
- Corresponded with various payers, clinics, practitioners, and leadership regarding the
status of enrollments
- Manages all provider files, both paper and electro...
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