Naveen S
Chennai
Summary
Experienced administrative professional with 1+ years in provider credentialing services. Works productively with facilities, provider groups and individual professionals. Knowledgeable about application requirements for government and private insurance plans.
Overview
2
2
years of professional experience
Work History
Hc Intellect Pvt Ltd
06.2024 - Current
- Manage the complete lifecycle of credentialing and enrollment for healthcare providers.
- Verify professional credentials, education, licenses, and malpractice history.
- Analyze and process applications efficiently, resolving discrepancies and ensuring completeness.
- Liaise with insurance payers, internal departments, and providers to ensure timely credentialing.
- Maintain up-to-date records in CAQH, Modio, Availity, and internal systems.
- Collaborate with compliance and billing teams for operational alignment
Altruist Technologies Pvt. Ltd
06.2023 - 06.2024
Education
B.E - Mechanical Engineering
Anand Institute of Higher Technology, Chennai
01.2020
HSC - undefined
John Dewey Matriculation Hr. Sec. School
01.2016
SSLC - undefined
St. Anne’s Matriculation Hr. Sec. School
01.2014
Skills
- Credentialing & Enrollment
- Regulatory Compliance (NCQA, CMS)
- Payer Communication
- Primary Source Verification
- Team Collaboration & Communication
- Problem-Solving & Adaptability
Disclaimer
I hereby declare that the information provided above are true to the best of my knowledge and belief. Date : Place : Chennai
Timeline
Hc Intellect Pvt Ltd
06.2024 - Current
Altruist Technologies Pvt. Ltd
06.2023 - 06.2024
HSC - undefined
John Dewey Matriculation Hr. Sec. School
SSLC - undefined
St. Anne’s Matriculation Hr. Sec. School
B.E - Mechanical Engineering
Anand Institute of Higher Technology, Chennai
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