Elvera Gortman
Lititz,PA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Seeking a Remote Credentialing / Enrollment Specialist position.
Willing to be trained!!
Overview
5
5
years of professional experience
Work History
Pursuing Career Growth
Job Seeking
09.2023 - Current
- Seeking employment within credentialing/enrollment field.
- Pursuing education for Medical Billing and Coding certification.
- Enrolled into AAPC 2024.
Medical Credentialing Specialist Remote
SnapNurse
01.2022 - 09.2023
- Worked with clinician from start to finish within credentialing process.
- Processed approximately 30 clinicians/week = over 750 documents.
- Reduced errors in credentialing files by conducting thorough reviews and maintaining attention to detail.
- Ensured clinicians were in compliance with company standards, State and Federal policies, and joint commission audit requirements.
- Conducted primary source verifications such as background checks and board certifications.
- Tracked license, certification, and medical expirations to ensure timely renewals.
- Trained to work on clinicians from Pennsylvania, California, Colorado, Washington, Florida, Michigan, Georgia, Louisiana, Maryland, etc.
- Specialized on RNs, LPNs, CNAs, PMs, MAs, and CST credentialing that involved travel staffing. (Willing to learn provider credentialing and enrollment)
Medical Assistant
US Digestive Health
09.2019 - 01.2022
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations
- Obtained timely clearances from other physician offices prior to tests or procedures as per RGI guidelines
- Assisted in in-office procedures and exams
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments
- Assisted with routine checks and diagnostic testing by collecting and processing specimens
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
Patient Access Representative
Regional Gastroenterology
03.2019 - 09.2019
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
- Providing excellent customer service by promptly answering patient inquiries
- Answered incoming calls, scheduled appointments and filed medical records.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Developed proficiency in EPIC software programs for accurate documentation of patient encounters
Education
High School Diploma -
Garden Spot Senior High School
New Holland, PA06.2017
No Degree - Medical Administrative Assistant Certification
LCCTC
Lancaster, PA06.2017
Skills
- Task Prioritization
- Detail Oriented
- Analytical and Critical Thinking
- Regulatory Compliance
- Salesforce Software Knowledge
- Efficient Remote Work/ Self-Motivated
- Teamwork and Collaboration
- Remote Communication
- Audit Preparation
- Computer Skills:
Microsoft Word / Excel / Google Platform
Timeline
Pursuing Career Growth
Job Seeking
09.2023 - Current
Medical Credentialing Specialist Remote
SnapNurse
01.2022 - 09.2023
Medical Assistant
US Digestive Health
09.2019 - 01.2022
Patient Access Representative
Regional Gastroenterology
03.2019 - 09.2019
High School Diploma -
Garden Spot Senior High School
No Degree - Medical Administrative Assistant Certification
LCCTC
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