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BRITTANY SOTO

@brittanysoto

Dedicated Provider Enrollment Specialist with 12+ years of experience.

United States
Message

What I'm looking for

I am looking for a role that values teamwork and offers opportunities for professional growth.

I am a highly dedicated and dependable Provider Enrollment Specialist with over 12 years of experience in the healthcare industry. My extensive background has equipped me with the skills to work effectively under pressure, maintain high attention to detail, and demonstrate strong organizational abilities. I pride myself on my unwavering commitment to resolving complex issues and my ability to learn and apply changes quickly.

In my current role as a Sr. Provider Enrollment Coordinator at TeamHealth, I am responsible for performing payer research and managing the enrollment of providers and hospitalist groups into insurance plan networks. I excel in verifying provider credentials and resolving billing and enrollment-related issues. My experience also includes overseeing a team at Triad Healthcare Management, where I honed my leadership skills and developed a collaborative approach to problem-solving.

Experience

Work history, roles, and key accomplishments

TE
Current

SR. PROVIDER ENROLLMENT COORDINATOR

TEAMHealth

Jun 2022 - Present (3 years 5 months)

Successfully performed payer research and managed all aspects of provider and hospitalist group enrollment into insurance plan networks, including credential verification and complex billing/enrollment issue resolution. Communicated directly with providers, payers, and teammates to resolve Accounts Receivable obstacles and prevent future issues, while also handling daily administrative tasks such

TM

OPERATIONS COORDINATOR

Triad Healthcare Management

Dec 2012 - Jun 2022 (9 years 6 months)

Oversaw a team of 7+ employees, directing payer research and insurance plan network enrollment from submission to completion, and maintaining group enrollments. Verified provider credentials, resolved complex billing/enrollment issues, and managed daily administrative tasks including email correspondence, insurance verifications, health insurance application assistance, and conference call partici

Education

Degrees, certifications, and relevant coursework

PH

Penn Foster High

High School Diploma, General Studies

Completed high school education, earning a diploma. Developed foundational academic skills and prepared for further education or entry into the workforce.

FA

Fortis Institute - National Healthcare Association

Certification, Billing and Coding

Grade: C.B.C.S.

Obtained certification as a Billing and Coding Specialist. Gained expertise in healthcare billing and coding practices, preparing for roles in medical administration.

Tech stack

Software and tools used professionally

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BRITTANY SOTO - SR. PROVIDER ENROLLMENT COORDINATOR - TEAMHealth | Himalayas