Experience

Confluent Health

• United States
• Physical, Occupational and Speech Therapists
• 200 - 300 Employee

• Credentialing Coordinator

  • Jan 2022 - Present

  credentialing physical therapists for in network services Credential new facilities Maintaining provider CAQH Accounts Submitting queries to the National Provider Data Bank Run OIG reports assisting with delegated credentialing Create NPI numbers for physical therapists filing assisting therapist with on boarding into the company answering questions to therapists and coordinators notarizing documents when needed updating spreadsheets verifying in and out of network coverage working with Novitas Medicare, Medicaid, Workers Comp PPO and HMO policies etc



Texas Physical Therapy Specialists

• United States
• Physical, Occupational and Speech Therapists
• 200 - 300 Employee

• Credentialing Coordinator

  • Apr 2019 - Present

  credentialing physical therapist for in network services filingassisting therapist with on boarding into the company answering questions to therapists and coordinators notarizing documents when needed updating spreadsheetsverifying in and out of network coverageworking with Medicare, Medicaid PPO policies etc

• insurance verification coordinator/claims representative

  • Feb 2019 - Apr 2019

  sending corrected claimsaccounts receivable filingverifying insurances for direct medical equipment checking claim statusfiling appeals

• Care Coordinator

  • Dec 2016 - Feb 2019

  assisting patients with scheduling taking paymentscalculating deductible and coinsurance amountsverifying insurancefiling Medicare auditschecking Medicare capssubmitting pre authorization requestssending plan of care for signatures from physicians opening and closing of facility

• Patient Account Representative

  • Jul 2016 - Dec 2016

  filing claimsworking patient accounts taking payments over the phone filing appealsaccounts receivable mailing statements providing customer service to patientsupdating spreadsheetsfiling sorting through mail



Copy Solutions, Inc.

• United States
• Printing Services
• 1 - 100 Employee

• Help Desk Specialist

  • May 2015 - Jul 2016

  Handling supervisor escalated calls for card company. Giving great customer service. providing assurance to customers. Sending off replacement cards. filing claims for possible fraudulent activity. Releasing funds for emergency purposes. Handling supervisor escalated calls for card company. Giving great customer service. providing assurance to customers. Sending off replacement cards. filing claims for possible fraudulent activity. Releasing funds for emergency purposes.