Experience

Dominion Diagnostics

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Senior Payer Relations Rep.

  • May 2023 - Present

• Payer Relations Rep.

  • Jun 2019 - Jun 2023



Aspenti Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Sr. Credentialing Analyst

  • Oct 2017 - May 2019

  As the Sr. Credentialing Analyst with Aspenti Health, my role is to foster and grow our contractual relationships with payors and to facilitate open ongoing communication. I oversee our Credentialing Department and manage our partnerships with payors, both contracted and non-contracted. I have generated 47 individual payor contracts (Medicaid, Medicare, Managed Care & Commercial) for Aspenti Health. My duties include: o Work collaboratively with the Credentialing Action Team (CAT) to determine credentialing goals and identify new opportunitieso Draft and submit payor credentialing applicationso Maintain a database that holds pertinent information regarding all payors contracting informationo Track renewal dates for our various payor contractso Negotiate payor reimbursement rateso Review and analyze payor contract terms for Aspenti leadership reviewo Run various billing reports to track payors reimbursements and denialso Ongoing knowledge of private and governmental payors rules and regulations, specific to drug screening and laboratory serviceso Provide payor relations support by maintaining our current relationships and building new oneso Serve as payor relation escalation for the billing department on payor trends and billing concernso Create and maintain various payor portal logins for colleagues Show less

• Compliance & Credentialing Specialist

  • May 2017 - Oct 2017

• Insurance Credentialing Specialist

  • Jan 2017 - May 2017



Burlington Labs

• Insurance Credentialing Specialist

  • May 2015 - Jan 2017

• Appeal & Denial Specialist

  • Feb 2015 - May 2015

• Medical Payment & Denial Specialist

  • Jun 2014 - Feb 2015



FOUR SEASONS DERMATOLOGY

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Billing Specialist

  • Apr 2007 - Jun 2014