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Click here or scroll down to respond to this candidateC H E R Y L D E N I S E S M I T H(E) EMAIL AVAILABLE (C) PHONE NUMBER AVAILABLEWell-organized Office Management professional with strong leadership and planning abilities with a developed Street Address + year career. Motivated to improve operations, maximize efficiency and control costs to foster operational success. Drive sustainable productivity improvements through strategic approaches to day to day needs and project requirements. EDUCATIONNeedham B. Broughton High School, Jun 1979, Raleigh, NC, High School Diploma Hardbarger Jr. College, May 1981, Raleigh, NC, Associate of Applied Business SKILLSPortfolios of Achievements include proficiency in Credentialing Specialization, License Verifications, Training & Development, Team Direction, Collections Experience, Staff Training, Strategic & Tactical Planning, Professional Communication, Organizational Development, Leadership & Professional Development/Management Skills. Admirable Experience in a Professional Business Atmosphere, Operational Knowledge of Professional Business Operations, and Strong Interest in Business Relationship Management. RECENT PROFESSIONAL EXPERIENCENorth Carolina Nephrology, PA, Office Manager/Credentialing Specialist, Raleigh, NC Nov 1987-May 2021 Maintained impeccable office organization to support efficiency, professionalism, and performance objectives Directed team of six administrative professionalsto meet team needs in fast-paced environment Managed office budget to handle all needs including inventory, postage, and vendor services Streamlined back office (MAs and nurses) to promote proper functionality and positive experiences Conducted annual performance evaluations of officestaff to monitor progress and recommend professionalgrowth plan Managed daily operations within medical office by supporting continuous delivery of excellent servicesand care Confirmed facility and user credentials to initiate and maintain registration and enrollment processes Check applications for missing information and organized all paperwork Performed primary source verifications such as criminal histories, licences, and board certifications Proficiency with CAQH, NPPES, and PECOS. Experience with NPPES/PECOS and insurance enrollment process Processed documents and status-change requests conduction follow-up assessments regarding enrollment inquiries Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access Built and maintained effective relationships with peers and upper management to drive team success Wake Nephrology Associates (Currently North Carolina Nephrology, PA), Medical Billing Manager, Raleigh, NC Nov 1987-Dec 2017 Completed enrollment into Medicare, Medicaid, and private insurance plans Set up NPI numbers for providers and facilities updating current profile information Improved standard operating procedures to increase billing accuracy and cash flow Led team of four staff handling thousands of dollarsin monthly charges Helped customers to bring accounts into good standing by implementing payment plans Maintained Medic/Mysis electronic billing system Dialysis procedures and managed patients charts REFERENCES Phillip Z. Timmons, MD, Wake Nephrology/North Carolina Nephrology, PA, PHONE NUMBER AVAILABLE Sejan Patel, MD, Wake Nephrology/North Carolina Nephrology, PA, PHONE NUMBER AVAILABLE Beth OLeary, PA, North Carolina Nephrology, PA, PHONE NUMBER AVAILABLE Keith Keener, MD, Founder & Owner Wake Nephrology, PHONE NUMBER AVAILABLE K Keener (Manager), Wake Nephrology/North Carolina Nephrology, PA, 919.522.2232 Mark Rothman, MD, Wake Nephrology/North Carolina Nephrology, PA, PHONE NUMBER AVAILABLE/pre> |
