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خلاصہ
Equipped with more than 6 years of extensive experience in the Education, IT, and Healthcare industry. Receive, review, and submit applications for completeness and compliance with instructions for preparation. Offer valuable services to various providers ranging from Medical Providers, Behavioral Health Providers, OTs, PTs, and optometrists. Ensure the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the application. Identify deficiencies and follow up to gather missing or incomplete data. Capable of delivering desired goals, multitasking, and possessing a proactive approach toward work.
تجربہ
Credentialing Specialist | Insurance Enrollment Specialist
• Maintaining individual Health care provider files to include up-to-date information needed to complete the required governmental and commercial insurance enrollment applications
• Maintaining the internal Health care provider grid to ensure all information is accurate and logins are available
• Updating each Health care provider’s CAQH database files timely
• Completing revalidation requests issued by government payers
• Completing credentialing applications to add Health care providers to all commercial payers, Medicare, and Medicaid
• Credentialing new Health care providers and re-credentialing current Health care providers and following up the application till completion.
• Working closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to Health care provider credentialing
• Maintaining accurate Health care provider profiles on CAQH, PECOS, NPPES, and CMS databases
• Other duties as assigned
Administrative / Credentialing Coordinator
• Maintained individual clients' files to include up-to-date information needed to complete the Customer Requirement Management forms
• Facilitated and attended monthly Credentialing Committee meetings
• Responsible for processing client applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring compliance with required standards
• Monitored files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies
• issued electronically tracked and followed up on appropriate verifications for efficient, high-volume processing of individual applications
• Coordinated activities throughout the company to ensure efficiency and maintain compliance with company policy.
• Managed emails, letters, packages, phone calls, and other forms of correspondence.
• Performed Data Entry responsibilities
CTI Lecturer
Planned lessons and activities that facilitate students’ acquisition of basic and advanced computer skills
· Delivered an Engaging Curriculum through diverse methods of classrooms instruction and computer lab activities and an online learning system
Met with students outside of class to answer questions explained difficult concepts and address the individual concept
Delivered Clear effective feedback to improve the quality and efficiency of student-written computer programs
· Instructed the Computer Short courses (CCA) approved by the Punjab Board of Technical Education
IT Teacher
· Ensured proper functioning of all computer equipment
· Updated oneself with advancements in computer technology
· Developed instructional manuals to help students know the proper handling of computers
· Conducted group and one-on-one training sessions
· Supervised student's a research/project work and internship programs
· Maintained student's attendance and performance records
