Description
Proficient in physician credentialing, medical insurance contracts, operating insurer, malpractice, general liability policy and workmen's compensation * Negotiated and management of insurance contracts, Medicare, Blue Cross Blue Shield, Harvard Pilgrim, Tufts Healthcare, United Healthcare, Aetna and Massachusetts Connector carriers. Professional Development/Quality Assurance: * Responsible to obtain and maintain physician state licensing in multiple states as well as DEA/State Controlled Substance and credentialing providers for facility affiliations * Participated in the MAEHC connectivity EMR project within the Brockton community * Current on PQRS/MU requirements. Exceptional grant writer strong background in HRSA 330 and 304B grants. Current in knowledge of ICD9/ICD10. HIPAA and OSHA compliance is current.
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