Ishita Sehgal

Works closely with external Provider Enrollment vendor on notification of a providers start, provider documentation and ensuring the provider is in all systems.

Performs follow-up with insurance payers via phone, email or website to resolve provider enrollment issues.

Facilitate provider enrollment for various government healthcare payers and third-party billing entities.

Responsible for enrolling providers into Medicare and Medicaid program.

Understand specific application requirements for each payer including pre-requisites, forms required, form completion requirements, and regulations.

Maintained an electronic credentialing system to ensure accurate and confidential provider information is available on an on-going basis.

Ensuring the site and providers at that location are set up correctly for billing purposes

Perform tracking and follow-up to ensure provider numbers are established and linked to the appropriate group entity.

Ensure service delivered to our customers meets contractual Key Performance Indicator (‘KPIs’)

Clarify customer requirements; probe for understanding, use decision-support tools and resources to appropriately provide resolution to the customer

Greet customers in a courteous, friendly, and professional manner using agreed upon procedures

Maintain basic knowledge of client products and/or services Prepare complete and accurate work including appropriately notating accounts as required.

Participate in activities designed to improve customer satisfaction and business performance.

• Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
• Built and maintained relationships with new and existing clients while providing high level of expertise.
• Maintained knowledge on banking products and distribution to provide optimal service support.
• Communicated regularly with clients to understand needs, evaluate current product use and cross-sell new products.
• Achieved goals for sale of bank products and services and exceeded performance metrics for customer service.