Bryanna Liriano
@bryannaliriano
Provider Enrollment Specialist at Advocate Radiology Billing, processing Medicare and Medicaid enrollments and reviewing enrollment data.
United StatesWhat I'm looking for
At Advocate Radiology Billing, I process provider enrollments with Medicare and Medicaid in multiple states. I use PECOS to enter provider effective dates and contact insurance carriers about denials.
Previously, as a Program Coordinator at Aligned Government Services, I gathered candidate credentials, screened candidates against employment specifications, and coordinated license and certification renewals.
At Loyal Source Government Services, LLC, Ghost RX, and Advantum Health, I worked on credentialing and primary source verification. My work included reviewing applications, checking provider qualifications, and maintaining accurate records.
Experience
Work history, roles, and key accomplishments
Provider Enrollment Specialist
Advocate Radiology Billing
Apr 2024 - Present (2 years 6 months)
Processed provider enrollments with Medicare and Medicaid, used PECOS to enter provider effective dates, and contacted insurance carriers regarding denials. Prepared reports on enrollment data and assisted clients with applications.
Program Coordinator
Aligned Government Services
Aug 2023 - Mar 2024 (7 months)
Coordinated credentialing processes, sourced candidates for federal contracts, and wrote job descriptions. Developed tools to improve credentialing and maintained timely renewals of licenses and certifications.
Credentialing Specialist
Loyal Source Government Services, LLC
Aug 2022 - Aug 2023 (1 year)
Verified qualifications of health care providers for the VA health care system, conducted primary source verifications, and obtained NPI numbers. Pre-screened resumes and prepared records for audits.
Credentialing Specialist
Ghost RX
Oct 2021 - Jun 2022 (8 months)
Verified health care provider qualifications, improved filing systems, and maintained tracking logs. Requested and obtained renewable credentials before expiration.
Credentialing Specialist
Advantum Health
May 2021 - Sep 2021 (4 months)
Input client information into databases, verified criminal histories and licenses, and completed 30-40 files per day. Worked in CAQH database and filled out provider enrollment applications.
Delivered service and support to customers, informed them about insurance plans, and de-escalated concerns. Documented conversations and made outbound calls to obtain account information.
Server
Steak N Shake
Mar 2018 - Mar 2020 (2 years)
Greeted customers, took orders, and operated POS terminals. Collaborated with team members to ensure customer satisfaction.
Education
Degrees, certifications, and relevant coursework
Seminole State College of Florida
Associate Degree in Nursing, Nursing
Pursued an Associate Degree in Nursing with a focus on Nursing, expected completion in May 2025.
East River High School
High School Diploma, General Studies
Earned a High School Diploma from East River High School in 2018.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
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