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Work Experience
Senior Coordinator
Penn Medicine• January 2014 - Present
Maintain and set up group practices for the Health System. Involved with geographical mapping of locations, timeline projections of new practice set-up, as well as the handling of escalated provider issues. Enrollment of practice locations and registration into the Medicare program for mainly NJ and Pennsylvania & enrollment of group practices into PA Medicaid. Prepare and monitor revalidation reports regarding providers that fail to respond to a revalidation request mailing. Duties will include reactivating providers, once they have met the revalidation requirements.
Lead Enrollment/Credentialing Specialist
Novitas• September 2011 - January 2014
Effectively prioritize and process high volumes of time-sensitive files manually and electronically Completes EFT authorization documents to enable payment between client and carrier Updates all PLIID [Physician, Location, and Insurance ID] entries i.e. Provider and PTAN numbers once the PE process is completed Complete, submit, and track Clearinghouse applications for Claim submission
Education
University of Pennsylvania, Philadelphia
FinTech, Certifcation• May 2021 - Present
A broad look into the world of financial technology. Covering aspects of data and information processing, Data Visualization, Pandas, AI, AWS, BlockChain, etc.