Robin G.
Enrollment Coordinator at Women's Care- Claim this Profile
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Bio
Experience
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Women's Care
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United States
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Hospitals and Health Care
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400 - 500 Employee
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Enrollment Coordinator
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Oct 2017 - Present
Enrollment Coordinator- Physician/AHP (CNM, CRNP, PA) payor enrollments for OB/GYN, MFM, GYN/ONC, Urogynecology, General Surgery, Radiology, Pathology, and Hospitalists- Verifies and maintains required supporting documents for provider’s credentialing using INTELLISOFT enrollment database - Submission of online credentialing/recredentialing applications and delegated rosters for payor enrollments to commercial, federal/state funded, and traditional fee-for-service plans - Effectively tracks and monitors provider's enrollment status for timely approvals- Partners with insurances representatives and billing departments to troubleshoot denied claim issues
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St. Luke's University Health Network
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United States
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Hospitals and Health Care
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700 & Above Employee
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Enrollment Coordinator - St. Luke's Hospital University Health Network
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Apr 2014 - Oct 2017
Enrollment Coordinator- Physician/AHP (CNM, CRNA, CRNP, PA) payor enrollments for multispecialty practices: Anesthesia, Family Practice, Ob/Gyn, MFM, GYN/ONC, Perinatal, Dental, Oral Surgery, Podiatry, Hospitalists, and Urgent Care Centers - Obtains direct verification documents for onboarding and ongoing monitoring - Verifies and maintains required supporting documents for provider’s credentialing using ECHO enrollment database - Submission of credentialing/recredentialing applications for payor enrollments to commercial, federal/state funded, and traditional fee-for-service plans- Creates and maintains CAQH, NPPES provider profiles- Effectively tracks and monitors provider's enrollment status for timely approvals- Experience with CLIA's, Radiology Privileging (Dip Level)- Obtained Physician/AHP's NJ medical license, DEA, and CDS- Partners with insurances representatives and billing departments to troubleshoot denied claim issues
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Enrollment Coordinator
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Nov 2001 - Oct 2013
Credentialing Specialist- Physician/AHP (CRNA, CRNP, PA) payor enrollments for a single specialty Anesthesia practice contracted by Lehigh Valley Hospital Health Network - Obtains direct verification documents for onboarding and ongoing monitoring - Verifies and maintains required supporting documents for provider’s credentialing - Submission of credentialing/recredentialing applications for payor enrollments to commercial, federal/state funded, and traditional fee-for-service plans- Creates and maintain CAQH, NPPES provider profiles- Partners with insurances representatives and billing departments to troubleshoot denied claim issues
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Administrative Assistant - Management Recruitment
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Apr 2000 - Aug 2001
Administrative Assistant - Management Recruitment Team- Monitored candidate e-offers, prepared acceptance packets and participated in new hire orientation. - Coordinated candidate travel, lodging and expense reimbursement- Created “Becoming Familiar With Your Lehigh Valley” brochure. Worked with graphics department on the design and implementation of various inserts, packets, candidate information and brochures Administrative Assistant - Management Recruitment Team- Monitored candidate e-offers, prepared acceptance packets and participated in new hire orientation. - Coordinated candidate travel, lodging and expense reimbursement- Created “Becoming Familiar With Your Lehigh Valley” brochure. Worked with graphics department on the design and implementation of various inserts, packets, candidate information and brochures
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Dental Assistant
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Apr 1997 - Jun 1999
Duties included: assisted in all oral surgeries, sterilization of all instruments and dental OR rooms, charting of clinical procedures, x-ray processing/duplication, chart preparation, confirmation of appointments, office opening/closing procedures, training of new employees and inventory control. - X-ray Certification - #XD021457L - Dept. of State - Issued 10/15/1999 Duties included: assisted in all oral surgeries, sterilization of all instruments and dental OR rooms, charting of clinical procedures, x-ray processing/duplication, chart preparation, confirmation of appointments, office opening/closing procedures, training of new employees and inventory control. - X-ray Certification - #XD021457L - Dept. of State - Issued 10/15/1999
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Education
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· Lehigh Valley Dental Assisting Institute
Dental Assisting -
Lehigh Carbon community College
MS Office