Experience

Legion Healthcare Solutions

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

• Credentialing Manager

  • Oct 2020 - Present

  Processes incoming provider applications and maintains existing contract and credentialing documents to ensure records and documents are complete, accurate and compliant with regulatory agency and corporate requirements Enters initial application and ongoing contracting and credentialing data status in system database to ensure up-to-date Provider Directory for all service locations Maintains current hardcopy and electronic vendor contract and credentialing files Responds to inquiries from internal and external callers requesting contracting and credentialing status and/or terms Recover missing data and replace unusable data on reports including editing report to ensure clarity of content, consistency of format and accuracy Supports the Provider Relations Director, Credentialing Management, Quality Management and Regulatory Compliance with requested data reporting Collect data and input to spreadsheets and databases Develop, maintain and provide various reports to present in the monthly Credential Committee Processes outgoing mail or other deliveries, as required Show less


Confidential
• IT Services and IT Consulting
• 1 - 100 Employee
• Assistant Manager RCM

  • Mar 2018 - Oct 2020


Visolve RCM

• Team Lead - RCM

  • Jan 2014 - Mar 2018

  Medical Billing, Coding, AR Medical Billing, Coding, AR