G Mahender Yadav

Highly Organized and detail-oriented Credentialing Specialist with more than 5 years of experience in U.S Healthcare Domain. Fully knowledgeable in all aspects of Provider & Payer Credentialing. Proven ability to provide highest level of corporate services with consistently delivering quality and productive work. Accustomed to work in teams and shifts.

• Analyzing and verifying historical data of the provider regularly on a monthly basis and providing best sharing practices and areas of improvements
• Drove team and individual to Achieve 98% of Quality.
• Use all available Knowledge Management Tools during processing.
• Take all steps to troubleshoot issues reported to them and resolve or escalate to the appropriate contact.

Credentialing :

• Handled the provider credentialing and used to prepare and submit the applications to all the payers.
• Managed all the data entry related information of all the providers in the data base.
• Responded to all the inquiries related to application status of providers from all the Provider Groups.
• Performed the outreach to payers via phone calls and fax/email correspondence on provider credentialing status.
• Participated in weekly meetings with the client and cascaded the policies, updates with the team.
• Maintained the provider's demographics, contracts, and networks affiliations.
• Consistently exceeded the production and quality targets set by the client.
• Maintained the onshore quality audit tracker report and used to follow up with the entire offshore team.
• Mentored the new associates and provided the necessary floor support.
• Every time ensured quality outcome of work and thereby improving the team's performance.

Ameri Health:

• Responsible to work timely on the Intakes received from the client on hourly basis.
• Used to perform the Internal auditing on improving the Intake's accuracy.
• Handled the consolidation of production report of the team on daily basis.
• Assisted the team manager on preparing the clarification mails and documents related to the process.

Elevance Health:

• Maintained the individual provider file to include the up-to-date information needed to complete the required governmental and commercial payer credentialing applications.
• Compiles and maintained the current and accurate data for all the providers.
• Credentialed the delegated providers from the special project with the accurate license, DEA and with the hospitals where they hold staff privileges.
• Helped the team on clarifying the doubts and assisted them on the new procedures and guidelines.
• Handling the provider's Regular mail and Certified letters.

• Proficiency in Adobe PDF as well as the Microsoft Office Suite Which includes the Word, Excel, Power Point,Outlook and AWS Basics.

• Reading Books.
• Playing cricket.

• Father's Name: G Kumraiah Yadav
• Date of Birth: 12/10/94