Skilled Credentialing Analyst with background in healthcare credentialing and privileging processes. Possess strong understanding of accreditation standards, compliance requirements, and managed care contracts. Noted for ability to streamline processes for improved efficiency and accuracy. Demonstrated adaptability by successfully navigating changes in regulatory environments while ensuring high-quality results.
Overview
2
2
years of professional experience
Work History
Credentialing Analyst
TALL RCM INCORPORATION
Noida
08.2024 - Current
Reviewed applications and supporting documents to verify accuracy of information provided.
Analyzed medical staff data to ensure compliance with applicable regulations.
Maintained credentialing database, including updating records as needed.
Ensured timely updates on application statuses from insurance companies
Credentialing Analyst
ATHELAS SAVI
Noida
10.2022 - 04.2023
Ensured compliance with all accreditation standards by thoroughly processing credentialing applications
Ensured accurate tracking of provider data through diligent record-keeping
Performed initial review for new providers to determine eligibility for enrollment into the network.
Assisted in obtaining required documentation, leading to prompt credentials processing.
Organized and facilitated regular meetings with senior management teams.
Education
High School Diploma -
RK (SSS)
New delhi
03.2021
Bachelor of Arts -
DELHI UNIVERSITY
New Delhi India
Skills
Enhanced Computer Proficiency
Effective Group Engagement
Credential verification
Database Maintenance
Credentialing documentation
Application management
Facility credentialing
Solo practitioner credentialing
Languages
Hindi
First Language
English
Intermediate (B1)
B1
Accomplishments
Appreciated with RNR In Athelas savi
Timeline
Credentialing Analyst
TALL RCM INCORPORATION
08.2024 - Current
Credentialing Analyst
ATHELAS SAVI
10.2022 - 04.2023
High School Diploma -
RK (SSS)
Bachelor of Arts -
DELHI UNIVERSITY
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