Latorya Reid Email & Phone Number | Credentialing Specialist- Review Provider files for appropriate documentations required for credentialing process Prepare files for audits and maintain electronic data input activities Coordinate credentialing and re-credentialing applications and conduct document research. Collect and maintain files in relation to credentialing of network providers, including application, current physician licenses, DEA licenses, malpractice application, board certifications and other pertinent forms. Prepare documents for Credentialing Committee review. Forward applications to providers and ensured accuracy and completeness of information. Perform credential verification and request information from appropriate data banks. Interface between providers and hospital staffs to collect required information. Submit applications to manager, medical director and Credentialing Committee for review.Perform Provider enrollment functions, including but not limited to: CAQH and PECOS on line application systems including enrollment for commercial, State, and Federal payers Respond and address inquiries and requests including but not limited to resolution of issues, concerns and status updates from office staff, providers, and practice leadership Establish effective working relationships with payer contacts Initiate appeals and reprocessing of accounts receivables affected by payer deficiencies with links, enrollments, and fee schedule discrepancies Utilizes the credentialing database to prepare and maintain physician profile ensuring file completion within time periods specified Conduct Hospital privilege enrollments for provider specialists Coordinate enrollment of malpractice insurance for all providers Contribute to the enrollment process of payer incentive programs Contribute to the Revenue Cycle process with a collaborative approach Support the provider with completion of applications for appointments and reappoints to the medical staff, licensing, DEA and CDS renewal Responsible for prompt notification of ID numbers received and resolution of any irregularities Respond to inquiries from healthcare organizations, interfaces with internal and external customers on day to day credentialing and privileging issues as they arise Ensures practice and physician information is current with health plans, agencies and other entities. Other duties and responsibilities as assigned. Bariatric Seminars/weight loss program (Per Diem) Registration Clerk Assist with putting informative packets together. Verifying insurance information for patients. Help doctors get set up for the presentation.Administrative Assistant Responsible for all duties at the front desk of a large medical office Answering phones Determining appropriate needs of both physicians and patients Direct liaison between parents and insurance providers Direct liaison between physician and audiologist Direct liaison between parents/patients and audiologist Communicating needs of the audiology department to administrator/Director of PM&R Scheduling inpatient and outpatient appointments Filing charts Preparation and organization of all medical charts Interpreting for Spanish speaking patients Patient pre registration for appointments Supply requisitioner Copying all audiograms, reports, and state forms for charting and mailing purposes, ensuring reports are sent to indicated parties for all patients in a timely manner Developing new forms in conjunction with audiologist Creating new protocols, policies and procedures with audiologist Working in tandem with audiologist on marketing strategies for the department Reporting Audiology and Speech Department Statics weekly and monthly to administrator/Director of PM&R.

Latorya Reid

Credentialing Specialist- Review Provider files for appropriate documentations required for credenti...
Franklin Park, New Jersey, United States

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Latorya Reid’s Email reidl@ema.net

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Latorya Reid’s Location Franklin Park, New Jersey, United States

Latorya Reid’s Current Industry Emergency Medical Associates

Latorya Reid’s Prior Industry Robert Wood Johnson Physician Enterprise | Saint Peters Healthcare System | Saint Peters University Hospital

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Work Experience

Robert Wood Johnson Physician Enterprise

Credentialing Specialist/ Coordinator

2017-01-01 00:00:00 - 2017-01-01 00:00:00

Emergency Medical Associates

Credentialing Specialist

2014-06-01 00:00:00 - Present

Saint Peters Healthcare System

Registration Clerk

2011-01-01 00:00:00 - 2014-01-01 00:00:00

Saint Peters University Hospital

Administrative Assistant

2003-10-01 00:00:00 - 2013-06-01 00:00:00

Skills

No Skills Available

Languages

No Languages Available

FAQ About Latorya Reid

Latorya Reid is located at
Franklin Park, New Jersey, United States

Latorya Reid is a Credentialing Specialist- Review Provider files for appropriate documentations required for credentialing process Prepare files for audits and maintain electronic data input activities Coordinate credentialing and re-credentialing applications and conduct document research. Collect and maintain files in relation to credentialing of network providers, including application, current physician licenses, DEA licenses, malpractice application, board certifications and other pertinent forms. Prepare documents for Credentialing Committee review. Forward applications to providers and ensured accuracy and completeness of information. Perform credential verification and request information from appropriate data banks. Interface between providers and hospital staffs to collect required information. Submit applications to manager, medical director and Credentialing Committee for review.Perform Provider enrollment functions, including but not limited to: CAQH and PECOS on line application systems including enrollment for commercial, State, and Federal payers Respond and address inquiries and requests including but not limited to resolution of issues, concerns and status updates from office staff, providers, and practice leadership Establish effective working relationships with payer contacts Initiate appeals and reprocessing of accounts receivables affected by payer deficiencies with links, enrollments, and fee schedule discrepancies Utilizes the credentialing database to prepare and maintain physician profile ensuring file completion within time periods specified Conduct Hospital privilege enrollments for provider specialists Coordinate enrollment of malpractice insurance for all providers Contribute to the enrollment process of payer incentive programs Contribute to the Revenue Cycle process with a collaborative approach Support the provider with completion of applications for appointments and reappoints to the medical staff, licensing, DEA and CDS renewal Responsible for prompt notification of ID numbers received and resolution of any irregularities Respond to inquiries from healthcare organizations, interfaces with internal and external customers on day to day credentialing and privileging issues as they arise Ensures practice and physician information is current with health plans, agencies and other entities. Other duties and responsibilities as assigned. Bariatric Seminars/weight loss program (Per Diem) Registration Clerk Assist with putting informative packets together. Verifying insurance information for patients. Help doctors get set up for the presentation.Administrative Assistant Responsible for all duties at the front desk of a large medical office Answering phones Determining appropriate needs of both physicians and patients Direct liaison between parents and insurance providers Direct liaison between physician and audiologist Direct liaison between parents/patients and audiologist Communicating needs of the audiology department to administrator/Director of PM&R Scheduling inpatient and outpatient appointments Filing charts Preparation and organization of all medical charts Interpreting for Spanish speaking patients Patient pre registration for appointments Supply requisitioner Copying all audiograms, reports, and state forms for charting and mailing purposes, ensuring reports are sent to indicated parties for all patients in a timely manner Developing new forms in conjunction with audiologist Creating new protocols, policies and procedures with audiologist Working in tandem with audiologist on marketing strategies for the department Reporting Audiology and Speech Department Statics weekly and monthly to administrator/Director of PM&R.

Latorya Reid currently works in the Emergency Medical Associates |

No Languages Available

Latorya Reid has prior
experience in the following industries:
Robert Wood Johnson Physician Enterprise | Saint Peters Healthcare System | Saint Peters University Hospital

Latorya Reid has the following professional experience:
Robert Wood Johnson Physician Enterprise | Emergency Medical Associates | Saint Peters Healthcare System | Saint Peters University Hospital