Credentialed/recredentiled approx. 260 providers; verified license, DEA, education, insurance etc., filled out insurance forms(example CAQH online), sent out memo's to all insurance companies contracted with hospital, answered phone, Contacted insurance companies other employees for claim issues. Solved claim issues. Handled all Medicare/medicaid forms for providers. Yearly audit with insurers of medical staff files, Expedited physicans hire status to
start patient care quickly. Continually followup of physician status to insure claims paid in a timely fashion.
challenge, fast paced, great leadership