Experience

Open to opportunities - seeking new position

• Telecommunications
• 100 - 200 Employee

• Operations Coordinator

  • Jan 2018 - Present



Open to Opportunities

• Open to Opportunities

  • Sep 2017 - Present



Sheridan Healthcare

• United States
• Medical Practices
• 700 & Above Employee

• Senior Credentialing Coordinator

  • Mar 2006 - Oct 2016

  SHERIDAN HEALTHCORP, INC. Sunrise, FL Senior Hospital Credentialing Coordinator 08/12-10/2016   Assisted manager with start-ups and acquisitions in targeted markets development activity. Primary responsibilities include Integrating Incumbent providers in MSOW, ensuring that all primary source verifications are done prior to close of contract and review with legal team.  Serving as liaison to all applicants, active Providers and internal office staff,  Specializing in credentialing/re-credentialing of all medical Staff including physician and Allied Health staff according to NCQA, joint Commission standards and Medical Staff bylaws.  Researched and reviewed applications providing a range of technical, administrative, clerical and investigative support work verifying background credentials, education, internships, residencies, employment history, licensure, professional references, hospital affiliations, liability claims and criminal history.  Processing all applicants through the committees to appointment for medical Staff Privileges.  Collected and Maintained files in relation to credentialing of network providers, including medical state licenses, DEA’s, CDS’s, ACLS, CME’s, CEU’s malpractice insurance, board certifications and other pertinent documents..  Audited other coordinators files for accuracy, and coordinating vacation time request. Show less



BCC Financial Services

• Fort Lauderdale, LD

• Customer Service Representation

  • Aug 1999 - Dec 2005

  BCC FINANCIAL MANAGEMENT SERVICES INC. Ft. Lauderdale, FL Customer Service Representation 7/99 – 12/05  Managed portfolio of accounts of over $5,000.00  Prepared financial profile to determine patients’ ability to pay for medical expenses.  Contacted attorneys regarding case status, filed liens and statement of claims.  Communicated with patients via telephone regarding their account.  Verified and qualified patient’s eligibility for Medicare and Medicaid.  Corresponded with insurance companies to determine eligibility and checked claims status.  Requested document from hospital to bill insurance company if there is no claim on file.  Filed appeals with insurance companies for denial of claims.  Monitored account billed by hospital for payment. Show less