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خلاصہ
Motivated and versatile graduate with well-developed management and IT skills combined with a flexible attitude to work. Multiple years of hands on experience in various fields with strong analytical skills put to successful practice in field. Strong communication skills with excellent presentation capabilities seeking out new responsibilities irrespective of reward and recognition. Striving for quality and professionalism in every work attribute to my personality.
تجربہ
Credentialing And Enrollment Specialist
Hospital Affiliations with 16 different hospitals.Provider credentialing and contracting.ERA, EFT and EDI enrollment.Licenses renewal and updates.Provider portals creation and maintenance.Supporting billing teams with credentialing related issues.Insurance, Hospitals and provider communication.
Credentialing Specialist
Working with 350 plus providers serving in more than 80 locations in three states.Credentialing and contracting providers with Medicare, Medicaid and Commercial Insurances.Maintaining all directories such as CAQH, PECOS, Insurance portals and Insurance demographics.Maintaining providers data and working to get hospital affiliations.Creating Collaborative, Supervising, Waivers for Mid level providers.Executing and answering queries from all departments through a centralized system.
Senior Credentialing Executive
Create NPIs, License, CLIA etc. for providers and facilities and updated existing profiles.Received and evaluated applications to look for missing and inaccurate information.Prepared records for site visits and file audits.Enrolled providers and Medicaid, Medicare and private insurance plans.Communicate with insurance and Doctors on daily basis to keep records updated.
Accounts Manager Operations
Claims submission and aging reports submission
Evaluated patients' financial status and established appropriate payment plans.
Located errors and promptly refiled rejected claims.
Managed collections claims for unpaid bills.
Posted and adjusted payments from insurance companies.
Maintained and updated collections tracking spreadsheet of payment information.
Trained new employees on medical billing and data entry softwares.
CSR
Educated customers on promotional options, sales policies.
Educated customers on recent company offerings.
Maintained accurate and current customer account data for sales.
Internship
Assessed skill gaps and developed training courses to meet identified needs.
Evaluated success of training programs and recommended improvements.
Gathered data about course success and participant experiences.
Liaised between trainers and course participants.
Developed surveys to identify training and development needs.
EFU Life Assurance
Sold life insurance products to individuals and groups within assigned territory.
Sought out new clients and developed client relationships.
Customized existing insurance programs to suit individual client needs by analyzing specific requirements.
Recommended type and amount of coverage based on analysis of customers'
