Merrilee Severino
CPC, CMMP, CRC, CPCS
- Role
- Credentialing Senior at Oakleaf Medical Network
- Location
- Salina, KS, US
- LinkedIn followers
- 500 followers
About Merrilee Severino
As a Credentialing and Payer Relations Director at OAKLEAF MEDICAL NETWORK, I have over four years of experience managing credentialing processes and payer relationships for this CVO. I am focused on ensuring compliance with NCQA and CMS standards, conducting payer audits, and enhancing service delivery through effective enrollment and credentialing policies and developing workflows. I\'ve had the pleasure of supporting two networks through three software transitions and enjoyed seeing the enhancements and growth that afforded. With certifications including CPC, CRC, CMMP, and CPCS, I am committed to supporting operational excellence in the healthcare industry. My aim is to improve organizational efficiency, strengthen relationships, and uphold high standards in healthcare credentialing, revenue cycle, and compliance. I hope to expand my opportunities in 2026 and build on those strengths.
Experience
Credentialing Senior
Apr 2021 — Present · Eau Claire, WI, US
Manage all aspects of initial and re-credentialing processes, ensuring compliance with industry/NCQA standards. • Conduct payer audits and enrollment, strengthening relationships with key payers to enhance service delivery. • Developed and maintain credentialing policies, contributing to improved operational efficiency and compliance.
Education
Middleboro High School
Business
1987 — 1989
Skills
- Healthcare
- Mra
- Healthcare Information Technology
- Credentialing
- Surgery
- Medical Terminology
- Icd-9
- Risk Management
- Sales
- Practice Management
- Hipaa
- Hospitals
- Orthopedic
- Education
- Medical Billing
- Healthcare Management
- Program Management
- Accounts Receivable
- Marketing
- Revenue Cycle
- Family Medicine
- Medicaid
- Training
- Healthcare Industry
- Policy
- Clinical Research
- Ehr
- Icd-10
- Medicare
- Radiology
- Employee Benefits
- Start-Ups
- Physicians
- Bookkeeping
- Hcpcs
- Insurance
- Health Insurance
- Managed Care
- Physician Relations
- Public Speaking
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