Yvette Atem
provider enrollment specialists
- Role
- Provider Enrollment Analyst at Mbi Health Services, Llc
- Location
- Washington, DC, US
- LinkedIn followers
- 500 followers
Experience
Provider Enrollment Analyst
Jan 2021 — Present · Washington, DC, US
Manage the provider credentialing and Revalidation process for new and existing health care providers, ensuring accuracy, compliance to ensure managed care payers, Medicare, Medicaid and other government plans adhere to regulatory requirements- In collaboration with the hiring department, guide the providers through the economic credentialing/revalidation process.( Medicare/Medicaid/NPPES)- Ensure licenses and certification are up to date and accurate- Facilitate communication between internal providers, location rosters list, Individual CAQH profiles, payer data base, insurance companies and internal departments- Follows up either by telephone or in writing with insurance companies regarding the processing of outstanding claims and/or appeals- Colaborate with internal teams like administrators, managers, directors and billing team to develop and implement process improvements to streamline enrollment and conduct credentialing procedures- Utilize online data base and internal provider files for data entering.
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