Ajanai Dunn
Medical Services Analyst @CSX
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WORK HISTORY
Medical Services Analyst @CSX
FL, US
Respond to internal and external customers inquiries through phone support, emails and other written correspondences in a timely and accurate manner.Resolve simple to complex employee issues, concerns and questions. Research requests via internal policies and procedures, Employee Gateway intranet, Medical Services systems and other Departments.Support the return to work process for all employees.Support on and off duty injury processes.Support in the preparation of audits - FRA etc.Miscellaneous activities and responsibilities as assigned by managerProvide claim status for On-Duty related injuries via phone and/or email for insurance carriers such BCBS, UHC and Aetna. Process medical and vocational rehab invoices through OracleOrder DOT recertification exams using MQS
EDUCATION
University of North Florida
Bachelor's degree, Health/Health Care Administration/Management
ABOUT AJANAI DUNN
I have about 10 years in Payor Credentialing and Provider Enrollment as it relates to the Revenue Cycle. PECOS web user successfully submits 855A/B applications initials, COIs, reassignments and revalidationsHigh efficient rate of successfully obtaining, CHOWING and renewing AHCA state licensure for health settings inpatient rehabilitation hospital settings, SNF and home health-Name Change -Bed AdditionsCredentialing and ReCredentialing for Facilities/Individual including demographics changes for commercials payers such as BCBS, TriCare, Humana Completion of EFT application Practice Manager of CAQH portals Efficient with Microsoft Word, Outlook, Excel and Teams Administrator of portals such as Availity and SPOT Successfully obtained Medicaid applications for both facilities and individuals Successfully obtained Type 2 and 1 NPIs
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