SUMMARY OF QUALIFICATIONS * Versed in medical staffing by-laws, rules and regulations, and JCAHO, processing appointment applications, performing primary source verifications, and keeping applicants apprised of statuses. * Fit to process all medical staff and allied health privilege requests monitored expiring appointments and ensured licensure and credentials remain current. * Used CPT, ICD-9-CM, ICD-10-CM, CMS-1500, and UB - 04 classification systems prepared to execute itemized billing requirements for Medicare, Medicaid, and multiple managed care plans. * Computer & System Proficiency: MS Word, Excel, PowerPoint, & Outlook. Re-Appointment Applications Quality Improvement Risk Management Customer Service

Highlights:

• Billing
• Documentation
• Insurance
• Insurance Claims
• Medical
• Medical Billing
• Medical Terminology
• Radiology
• Managed Care
• Medicare