I have a deep understanding and experience in working with a large variety of health insurance companies and their credentialing requirements, as well as a broad knowledge about health care issues. I am currently the credentialing specialist for Middletown Medical PC.
I have experience in all area’s regarding health insurance including customer service, claims adjudication, authorizations, network management, contracting, and of course a vast experience with credentialing on both the health plan and provider sides. I am very capable of working with other departments to keep them both informed and stay informed of any issues/problems that may arise. I have a great deal of experience of working with upper management and I am able to assist with any problems that present themselves and find the source of those problems and have them corrected and then provide management with a detailed explanation of what was wrong and I …show more content…
I have a high level IT background which allows me to learn new software’s very quickly and become very proficient with using them. I take great pride that I am able to PDF all the credentialing documents that each health plan requires be completed to simplify the process and be even more professional in