Jeanisa R.

I have a total of 11 years working experience in a Healthcare BPO industry as Quality Auditor, Data Entry, Data Analyst, Administrative Assistant, and Reports Analyst. My latest experience is being a Contracting (Group Provider Enrollment) and Credentialling Specialist in Mental Health Setting. I am assigned to submit application from different insurances such as Aetna, Optum/UHC, BCBS, Carelon via Availity, Humana, Tricare, TriWest, Cigna/Evernorth, Molina, CareSource, Presbyterian, WesternSky, CareFirst via website, email or portal. I am working on prefilling documents, updating CAQH, checking license registry for BCBA via BCBA Registry, checking and validating NPPES Registry, consolidating files, extracting reports, creating reports and other clerical job. I also reach out to different departments may it be internal or external via phone or email to request and follow up the status. Conduct rate negotiations and perform contract reconsideration request for those closed panel networks