• Reviewed and analyzed Third Party Liability (TPL) forms, insurance documents, and Letters of Representation (LORs) to ensure accurate claims processing and regulatory compliance. • Generated claims reports, tracked medical lien balances, and supported lien reduction and reimbursement activities in coordination with legal teams. • Processed settlement payments, reconciled claim information, and maintained accurate records in Precis and QuickBase. • Coordinated with attorneys, insurance carriers, account managers, and internal teams to resolve claims, documentation issues, and compliance requirements. • Maintained detailed claims documentation, patient records, and legal correspondence to support audits, follow-ups, and HIPAA-compliant record management. • Participated in compliance reviews and process improvement initiatives, recommending workflow enhancements to improve claims accuracy, efficiency, and regulatory adherence.

Patient Coordination & Scheduling: Scheduled, confirmed, and managed high-volume patient appointments for psychologists, psychiatrists, social workers, and other clinic providers while monitoring daily schedules to support smooth patient flow, resource allocation, and reduced wait times. • Administrative & Operational Support: Facilitated monthly clinic meetings, recorded detailed minutes, supported workflow improvements, managed clinic correspondence, and directed priority inquiries to pharmaceutical technicians, care managers, and clinic leaders to ensure seamless care delivery. • Cross-Departmental Collaboration: Coordinated with clinical, administrative, and support services to streamline patient services and collaborated with pharmacy, care management, clinic leadership, external healthcare providers, and community resources to support smooth care transitions. • EMR & Technical Proficiency: Maintained accurate medical records and updated patient data in PowerChart EMR, including treatment progress, documentation requirements, insurance information, billing details, and patient communication history. • Clinical Intake & Compliance: Supported patient admissions, collected required documents, assisted with clinical questionnaires and data collection, and maintained compliance with healthcare regulations, documentation standards, infection control practices, and clinic safety protocols. • Exceptional Patient Communication: Addressed in-person, phone, and email inquiries from patients and families with clear, compassionate communication, arranged interpreter services when needed, and supported a positive patient and family experience. • Change Management & Quality Support: Contributed administrative recommendations and workflow support during clinic transformation efforts, helping improve operational efficiency, team coordination, patient satisfaction, and quality-focused care delivery for the Day Treatment Program.

• Reviewed healthcare client requirements, credentials, compliance documents, and staffing follow-ups with focus on accuracy, timely closure, and service quality. • Sourced profiles through job portals, LinkedIn, Dice, internal databases, and vendor networks based on healthcare client requirements. • Screened and shortlisted candidates by reviewing resumes, matching skills with job descriptions, conducting initial discussions, and validating availability, location, visa status, and pay rate expectations. • Coordinated candidate submissions, interview scheduling, client feedback follow-ups, documentation collection, onboarding support, and recruitment pipeline updates.

Support provider enrollment and re-credentialing activities, including application preparation, documentation review, status tracking, and payer follow-up. • Verify provider licenses, NPI, DEA, board certifications, malpractice insurance, CVs, and supporting documents for accuracy, completeness, and compliance readiness. • Maintain provider demographic and enrollment data in CAQH, PECOS, and internal systems, supporting data integrity, timely updates, and quality standards. • Coordinate with payers, providers, and internal teams to resolve enrollment discrepancies, credentialing issues, payer queries, and documentation follow-ups while supporting CMS, NCQA, SLA, and quality standards.