Jeevanantham B
Coimbatore
Summary
Dynamic Credentialing Specialist with a proven track record at NTT Data and Primrose Staffing Solutions, adept at streamlining processes and achieving 100% compliance. Skilled in Credentialing, provider enrollment and primary source verification, I excel in cross-functional collaboration and problem-solving, enhancing communication and efficiency within healthcare networks.
Overview
3
3
years of professional experience
Work History
Credentialing Specialist
Primrose Staffing Solutions India Pvt Ltd
Coimbatore
10.2025 - Current
- Managed end-to-end provider credentialing and re-credentialing processes for multiple US-based clients, ensuring compliance and efficiency.
- Conducted thorough primary source verification of licenses, DEA, board certifications, and malpractice insurance to ensure provider compliance.
- Collaborated with payers, providers, and internal teams to resolve enrollment and credentialing issues, improving overall communication and workflow.
- Streamlined credentialing process, reducing turnaround time by 20%.
- Achieved 100% compliance with deadlines, ensuring uninterrupted provider network participation.
Provider Service Specialist
NTT DATA Information Processing Services PVT LTD
Coimbatore
04.2023 - 10.2025
- Acted as primary contact for US-based healthcare providers on credentialing, enrollment, and account-related queries.
- Processed provider applications for Medicare, Medicaid, and commercial payers through payer portals.
- Managed CAQH profiles, ensuring timely attestation and updates for multiple providers.
- Conducted primary source verification of licenses, DEA certificates, board certifications, and malpractice insurance.
- Maintained accurate credentialing and enrollment records, proactively following up with payers to mitigate delays in provider onboarding.
- Coordinated with internal teams and compliance to resolve provider-related issues affecting revenue cycle.
- Facilitated onboarding of new providers, ensuring collection and accurate upload of required documents for seamless integration.
- Prepared reports for management and compliance audits, ensuring 100% adherence to deadlines and standards.
Education
Bachelor of Engineering -
UIT
Periyanaickenpalayam05.2017
HSC -
Vivekam Matric Hr Sec School
Veerapandi Pirivu, Coimbatore05.2012
SSLC -
Pioneer Mills Hr Sec School
Jothipuram, Coimbatore05.2011
Skills
- Credentialing
- Provider enrollment
- Compliance
- Regulatory knowledge
- Source verification
- Database oversight
- Enrollment resolution
- Process improvement
- Problem-solving
- Verbal communication
- Written communication
- Cross-functional collaboration
- Customer service orientation
- Relationship-building
Projects
Primrose Staffing Solutions India Pvt Ltd
End-to-End Provider Credentialing & Re-Credentialing Management
- Managed credentialing and re-credentialing for US-based healthcare providers across specialties and states.
- Maintained CAQH profiles, performed attestations, and ensured timely updates for payers.
- Conducted primary source verifications (licenses, DEA, certifications, malpractice).
- Streamlined credentialing workflows, reducing turnaround time by 20% and improving compliance.
NTT DATA Information Processing Services PVT LTD
CAQH Profile Optimization & Payer Enrollment Support
- Maintained and audited CAQH profiles to ensure accuracy and compliance with payer requirements.
- Developed an Excel-based tracking system to monitor expiration dates and application statuses.
- Collaborated with payers, providers, and internal teams to resolve enrollment delays.
Accomplishments
- Achieved 100% accuracy in provider credentialing and contracting audits.
- Recognized for resolving provider queries on time.
Languages
- Tamil
- English
Hobbies
Playing Cricket
Declaration
I hereby declare that all the above-furnished details are true to my knowledge.
Timeline
Credentialing Specialist
Primrose Staffing Solutions India Pvt Ltd
10.2025 - Current
Provider Service Specialist
NTT DATA Information Processing Services PVT LTD
04.2023 - 10.2025
Bachelor of Engineering -
UIT
HSC -
Vivekam Matric Hr Sec School
SSLC -
Pioneer Mills Hr Sec School