Beth Mosakowski
Georgetown
Summary
Ethical Enrollment Specialist with a multi-year track record of providing outstanding customer support in industry enrollment services. Flexible detail-oriented, methodical, performance-focused, and versatile professional with hands-on experience in provider relations and program development. Effective at working with various people in diverse personality and spectrum, as well as handling time-sensitive documents, requiring precise notation and keen tracking. Recognized for integrity, unparalleled work ethic, and organizational aptitude to effectively manage priorities and tasks under fast-paced settings. Proficient with Pecos, NPPES, Microsoft Office Suite, Microsoft Teams, and various insurance enrollment portals. Effective in training and management of enrollment support staff. Authorized to work in the US for any employer
Overview
9
9
years of professional experience
Work History
Lead Provider Enrollment Specialist
Med-Metrix
Red Bank
07.2022 - Current
- Facilitated provider enrollment processes for healthcare professionals.
- Managed documentation and verification of provider credentials.
- Expertise in both delegated and non-delegated enrollment proceses.
- Collaborated with team members to streamline enrollment workflows.
- Assisted in maintaining accurate records within electronic systems.
- Reviewed applications for compliance with regulatory standards.
- Lead and supported team members through navigation of enrollment process to facilitate optimal decisions.
- Maintained accurate records regarding all aspects of the enrollment process in a secure database.
Credentialing Coordinator
PRACTICE MANAGEMENT GROUP
Murrells Inlet
07.2021 - 07.2022
- Perform provider credentialing, in various states, for a large array of payers, using various techniques, including but not limited to, CAQH, PECOS, Provider Portals, applications, spreadsheets, etc.
- Fluent use of CredentialMyDoc.
- Responsibilities include, but are not limited to:
- Collect, verify and submit information necessary for the enrollment of providers.
- Submit re-enrollment applications in a timely manner to ensure consistent enrollment status.
- Managing work flow to ensure all timely submissions/deadlines of all payor-specific forms and documents to the various health plans including license updates, deficiency notifications, approval letters, etc.
- Maintenance of the provider file, communications, changes, corrections, and terminations documented.
- Maintained accurate records in the credentialing database for easy access.
Scheduler/Office Assistant/Administrative Assistant
Medical Services of America ~ MSA Hospice
Myrtle Beach
07.2020 - 07.2021
- Provide hands-on support to the MD Medical Director, Hospice Administrator, Director of Professional Services, and Clinical Manager/Staff Development, RN Case Managers, LPNs and CNAs, Chaplain, Medical Social Workers and Bereavement Counselor for a Hospice Company.
- Manage, and maintain Electronic Medical Records (EMR), and Medicare Compliance Documents.
- Verify each document for Medicare compliance to ensure alignment with the defined standards of acceptance.
- Participate in Regulatory Compliance Activities, such as Interdisciplinary Team (IDT), QAPI, and EPP.
- Maintain accurate schedules for each member of the IDT, and the CNA's in a fast-paced environment with constant changes and accommodations, being mindful of dates and deadlines and priorities.
Administrative Assistant
Brookdale Therapy
Township of Monroe
01.2017 - 07.2020
- Provide hands-on support to the area director, director of rehabilitation, and six healthcare service managers, for the rehabilitation department in 18 communities, that provide physical, occupational, and speech therapy.
- Support 82+ therapists with regulatory compliance documentation for with more than 1030 open cases on program.
- Verify each document for Medicare compliance to ensure alignment with the defined standards of acceptance.
- Utilize Rehab Optima to evaluate required documents, receipts, and patient’s electronic medical record.
- Carry out wide-ranging duties on workflow for the healthcare service managers.
- Populate, organize and present various statistical reporting documents.
- Use KRONOS Timekeeper to perform any necessary time-punch adjustments throughout the two-week pay period, while recording used paid time-off and employee mileage.
- Verify insurance eligibility and benefits, obtain prior authorization.
- Use of insurance portals. (eSolutions, Availity, AARP, UHC, Tri Care, etc.)
- Training and management of administrative support staff.
Education
Some College -
Kean University
Union, NJSkills
- Provider enrollment expertise
- Regulatory compliance
- Documentation management
- Team collaboration
- Workflow optimization
- Problem solving
- Attention to detail
- Effective communication
- Time management
- Training coordination
- Knowledgeable in Pecos, Modio OneView, AthenaOne, Nevada Medicaid Flex Portal, AZ AHCCS APEP Portal, Credential Stream, Availity, UHC Onboard Pro, Jira, CredentialMyDoc
- Leadership qualities
- Continuous learning attitude
- HIPAA compliance awareness
- Special projects
- Client relationship building
Timeline
Lead Provider Enrollment Specialist
Med-Metrix
07.2022 - Current
Credentialing Coordinator
PRACTICE MANAGEMENT GROUP
07.2021 - 07.2022
Scheduler/Office Assistant/Administrative Assistant
Medical Services of America ~ MSA Hospice
07.2020 - 07.2021
Administrative Assistant
Brookdale Therapy
01.2017 - 07.2020
Some College -
Kean University