At Novita Management Services, I manage provider credentialing and re-credentialing across commercial payers, Medicare, Medicaid, and hospital-related workflows. I maintain CAQH profiles and verify provider documentation, including licenses and DEA information.
I create and manage payer and clearinghouse portals for EDI, ERA, EFT, eligibility, claims status, and authorization workflows. I also complete EDI enrollments and coordinate EFT enrollment through platforms including EnrollSafe, InstaMed, and Change Healthcare.
At Novita Management Services, I support CCM, RPM, and TCM programs through patient outreach, scheduling and follow-up coordination, documentation, and case tracking. I also help patients with scheduling, billing questions, and account balances.
Previously, as an RCM Analyst at CureMD, I created and verified charges, followed up on aging claims, and researched denials and rejections. I also posted and verified insurance payments and generated operational and financial reports.
