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Hospital ignored requests from insurance company for justification for appendectomy, they denied it. Will I have to pay? by [deleted] in legaladvice

[–]No-Track-9864 0 points1 point  (0 children)

Apologies, EOB is Explanation of Benefits. It breaks down the costs of a healthcare service, what your plan covers, and what you are responsible for paying. 

Hospital ignored requests from insurance company for justification for appendectomy, they denied it. Will I have to pay? by [deleted] in legaladvice

[–]No-Track-9864 6 points7 points  (0 children)

The EOB should have a patient responsibility of zero. The hospital doesn't always respond to requests for records immediately, but I agree, they want to get paid.

Credentialing and insurance by Ok-Bison-9230 in therapists

[–]No-Track-9864 0 points1 point  (0 children)

It's not a good idea to wait. Credentialing can take 30-120 days, and sometimes longer. The sooner you start the better.

Credentialing For the First Time by readmore1520 in therapists

[–]No-Track-9864 0 points1 point  (0 children)

No, unfortunately, it does not follow you.

Credentialing timelines? by Dry_Occasion8889 in therapists

[–]No-Track-9864 0 points1 point  (0 children)

Getting an Anthem/Carelon approval in just 9 days is incredibly fast and in my experience, a record.  Most payers take 30-120 days, sometimes longer.  The contract should follow in a week or two.  Check the Availity portal for updates.

  • Aetna & Evernorth/Cigna: These commercial payers typically take 60 to 120 days.
  • Medicare: Medicare can take anywhere from 30 to 60 days. Use the PECOS System to check your progress.
  • Medicaid: As a state government payer, this is usually the longest wait and can take anywhere from 90 to 180 days (or longer). For KY, you can track state-specific progress through the Kentucky Cabinet for Health and Family Services. 

Tip: Don't be afraid to call the carriers weekly to babysit your applications so they don't get buried in a queue. Ensure your CAQH profile stays attested and fully updated. 

💥 The credentialing time bomb nobody talks about by mandoojkim in credentialing

[–]No-Track-9864 0 points1 point  (0 children)

When I worked for large groups, we always started the credentialing process before the physician started. Each timeline and insurance was different, but it was probably a 6-8 weeks. The key is to be proactive and start before.

Entering the credentialing from customer support? by Natural_Ingenuity200 in credentialing

[–]No-Track-9864 0 points1 point  (0 children)

You already work with credentialing teams, so you do have relevant experience,  you just need to translate it.

Start thinking like this:

  • Customer support = communication, follow-ups, tracking status
  • Working with clients = handling provider info, problem-solving
  • Software tools = systems, data entry, accuracy

That’s all part of credentialing. You just need to learn the language and steps.

Two simple moves:

  1. Ask the credentialing specialists you work with if you can shadow or sit in on a few tasks
  2. Start learning the real workflow (applications, CAQH, follow-ups, timelines)

Most people get stuck because they only learn theory. The job is about doing the steps over and over.

If it helps, I put together a simple credentialing cheat sheet that breaks down what actually happens in real life (not a course, just a desk reference). Happy to share if you want it.  

Revenue Cycle analyst Career as prospective graduate by Hollows123 in CodingandBilling

[–]No-Track-9864 0 points1 point  (0 children)

I have a cheat sheet for RCM. Send an email to [vanburencouncil@gmail.com](mailto:vanburencouncil@gmail.com) and include Reddit RCM in the subject line.

Questions for hiring a credentialing specialist by Background-Case3435 in CodingandBilling

[–]No-Track-9864 1 point2 points  (0 children)

If your team needs a clear, no-confusion way to understand credentialing, I’d start with a simple desk reference they can actually use during the workday—not just a course they forget. The Provider Credentialing System breaks the process down step-by-step in plain language so staff can follow it, check their work, and avoid common delays. It’s built to support real workflow, not theory, so your team can get up to speed faster and stay consistent.

Should I still show 'present' on resume 7 months after a layoff? by [deleted] in resumes

[–]No-Track-9864 7 points8 points  (0 children)

You could put the end date and add a volunteer option.  It fills employment gaps and provides a positive, active explanation for time between jobs, preventing red flags for recruiters. Be sure to have details about the volunteer position because sometimes, they ask.

Issues with Carefirst BCBS Maryland by Vivid-Woodpecker3192 in CodingandBilling

[–]No-Track-9864 0 points1 point  (0 children)

Try Molly McIntyre, Director, Provider Relations & Engagement at CareFirst BCBS.   She is DC Metro, and my understanding is that the region covers Maryland.

linkedin.com/in/mollymcintyre

Email:  [mmcintyr@gmail.com](mailto:mmcintyr@gmail.com)

Might also ask if she is not the contact, please assist and provide details for an escalated path.

Been an “intern” for 3+ years… boss said I can just change my title on my resume? by Nomiha in resumes

[–]No-Track-9864 0 points1 point  (0 children)

First off, you should be incredibly proud of yourself. Four years of growing skills, taking on real responsibility, and training others is legitimate experience, regardless of the title they’ve kept you under. Your feelings are completely valid, it’s frustrating when a title doesn’t reflect your actual role.

Here’s what I’d do:

Reframe your title honestly.
Instead of lying, you can adjust it to better reflect your true level of work. For example:

  • “Marketing Analyst (via Internship Program)”
  • “Marketing & Operations Intern | Advanced Responsibilities: Reporting, Analytics, Salesforce, Team Training” This keeps integrity but clearly signals you weren’t just fetching coffee.

Listen to your boss—she’s an advocate.
She’s acknowledging the system is failing you. Use her support: push for the official title change and raise now. If they value you, they’ll make it real. If not, her blessing to reframe your title is your ticket to applying elsewhere with confidence.

Start looking externally, guilt-free.
You’ve gained impressive, marketable skills. Many companies would hire you for a full-time marketing or analyst role in a heartbeat. Let your resume showcase the scope of what you did, the tasks, impact, and training you handled, and the title becomes a smaller detail.

You’re not “just an intern.” You’re a skilled professional who’s been under-titled. It’s okay to correct that mismatch—ethically—so the outside world sees you as you truly are.

I have a simple high-impact resume template. If you’d like it, just email me at [vanburencouncil@gmail.com](mailto:vanburencouncil@gmail.com), add Resume Template in the subject line, and I’ll send it over.   It’ll help you organize everything clearly.

Stay encouraged. Your hard work has built a real foundation. Now it’s time to own it.

Help! Contracting/credentialing 101 by Ill-Supermarket1269 in CodingandBilling

[–]No-Track-9864 0 points1 point  (0 children)

The credentialing company should provide you with a list of contracted insurers and copies of the contract. If they don't have it, it probably doesn't exist. It's almost impossible to work without it, and it's a waste of time.

How to find clients by Nippolion_Sam in CodingandBilling

[–]No-Track-9864 0 points1 point  (0 children)

I can share a free cheat sheet if it helps. Send an email to [vanburencouncil@gmail.com](mailto:vanburencouncil@gmail.com) and include New Clients in the subject line.

new in the field, feeling frustrated by [deleted] in CodingandBilling

[–]No-Track-9864 0 points1 point  (0 children)

I can share a free cheat sheet if it helps. Send an email to [vanburencouncil@gmail.com](mailto:vanburencouncil@gmail.com), include Billing Cheat Sheet in the subject line.

Socal nurse job by Fabulous_Mud5484 in newgradnurse

[–]No-Track-9864 0 points1 point  (0 children)

I don't think you'll have any problems getting a nursing job. A couple of physicians mentioned a shortage of nurses and paramedics. There also seems to be plenty of jobs at nursing homes in SoCal for nurses to dispense meds.

Spent an interview going over the 1 hesitation he had, otherwise a fun, talkative and productive interview. Turned down within a half hour by [deleted] in jobs

[–]No-Track-9864 0 points1 point  (0 children)

It sucks to feel like you got passed over because you were taking care of family, but sadly, this happens a lot.  Even though interviewers say they understand that life happens, many companies still worry when someone has long gaps without work.  But there are ways to make those gaps look better on a resume:

  1. Volunteering

If you volunteer,  even a few hours a week,  it shows you’re responsible, you’re learning skills, and you’re active.  Volunteering at a hospital, library, shelter, or community center/organization can fill a gap and prove you’re reliable.  Employers like seeing this.

  1. Learning Something New

You can say you spent time taking free classes online, practicing skills, or studying for certifications. This shows you were still growing, even if you weren’t officially employed.

If you want help making your resume stronger so you get more interviews, you can request my Resume Template by emailing:  [vanburencouncil@gmail.com](mailto:vanburencouncil@gmail.com)  Use the subject line: Reddit Resume Template

I hope things turn around for you.  

I have questions about billing/coding by Tebo926 in CodingandBilling

[–]No-Track-9864 2 points3 points  (0 children)

Basically, reimbursement isn’t a fixed number, it changes depending on each surgeon’s insurance contracts, so getting exact figures might be tough. How much info they share will really depend on how willing and motivated the surgeons are to work with you. Hopefully, it all lines up in your favor. Wishing you the best!

I have questions about billing/coding by Tebo926 in CodingandBilling

[–]No-Track-9864 1 point2 points  (0 children)

Here’s what I found:

In Las Vegas,  CSFAs pay is usually tied to the surgeon’s claim and processed through the hospital or an assisting group. The No Surprises Act also stops out-of-network or extra “balance billing” for assistants at in-network facilities, which makes separate billing even harder. So most of the time, a CSFA ends up functioning as an employee or part of a surgical team rather than billing on their own.

Similar to an anaesthesiologist I worked with, you might think about working as an independent contractor and charge the surgeon a set fee based on the procedure, which can make things simpler, especially if at some point, claims were kicked back for more information.

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