Ravi Nagaraju
#397, 1st Cross, Mysore
Summary
Dedicated and results-oriented Provider Enrollment Credentialing Specialist with 5+ years of experience in the healthcare industry. Proven track record of successfully managing Credentialing and provider enrollment processes and ensuring compliance with regulatory requirements. Seeking a challenging opportunity to leverage expertise in credentialing and enrollment to contribute to the growth and success of a healthcare organization. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Credentialing Group Lead
Equalize RCM
Mysore
09.2019 - Current
- Once the provider joined our group
- Client will be updating all the information in to the software (FirstCred) and assign back to me by creating a project including CAQH
- I will start working on CAQH first with the help of available documents provided by clients
- After completing CAQH will we have to initiate application for all commercial Payers by keeping the due date based on the TAT
- Completing application with the required documentation
- After completing will move the application for Signature if needed
- Follow up will be done based on the due date
- Once the enrolment completed will get 5 pieces of Information from Payor to move the task as complete (Effective date, Next Re-cred date, Provider ID, Group ID & Plans)
Education
Bachelor of Arts - Economics, History & Geography
SBRR Mahajana First Grade College
Mysore06-2019
HSC -
Maharaja Govt PU College
Mysore06-2014
SSLC -
Sri Nataraja High School
Mysore04-2012
Skills
- Proficient in provider enrollment and credentialing processes (RCM)
- Strong knowledge of Credentialing and private Commercial payors
- Good communication and interpersonal skills
- Detail-oriented with strong organizational and time management abilities
- Ability to work independently and collaboratively in a fast-paced environment, and a dedicated team player, as well as a skilled multitasker
- Good team management & building skills
- Organization and Time Management
- Supervision and leadership
- Quality Assurance
- Flexible and Adaptable
Disclaimer
I hereby declare that all the information given above is true and correct to the best of my knowledge. All the information shared in the resume is correct, and I take full responsibility for its correctness.
Accomplishments
- Awarded multiple times with Star & GEM awards for extraordinary performance in monthly & quarterly basis.
Languages
Kannada
First Language
English
Proficient (C2)
C2
Hindi
Intermediate (B1)
B1
Timeline
Credentialing Group Lead
Equalize RCM
09.2019 - Current
Bachelor of Arts - Economics, History & Geography
SBRR Mahajana First Grade College
HSC -
Maharaja Govt PU College
SSLC -
Sri Nataraja High School
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