Saranya P
Senior Process Executive
Chennai
Summary
Experienced Credentialing Specialist with 6 years in the healthcare industry. Skilled in verifying healthcare provider information,collecting and verifying provider data, and managing credentialing applications.
Overview
7
7
years of professional experience
2
2
years of post-secondary education
2
2
Languages
Work History
Credentialing Specialist
Cognizant Technology Solutions
11.2017 - 06.2024
- Developing and implementing improved processes for tracking patient databases and payment / insurance records
- Need to Verify US Provider Credentialing Which decides the provider's Contract Which the Insurance company in USA that involves Client interaction in calls to get Confidential documents which are required to verify the provider's Credentialing
- Maintaining database on Doctor's who willing to Participate in Insurance Company and verifying their Confidential documents as per Hierarchy provided by Client
- Bringing providers into Contract and collect the Confidential documents from doctors through E mail & Fax.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
- Conducted primary source verifications such as background checks and board certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Have ensured TAT, accuracy and maintained process KRA
- Additional support for other teams when their volumes in high peak.
- Optimized workflow efficiency within the department through regular process evaluations and implementation of best practices.
Education
B.Com (A&F) -
Dr. MGR Janaki College of Arts & Science, Madras University
HSC (Commerce) -
Vana Vani Matriculation Higher Secondary School
Chennai 06.2011 - 04.2013
SSLC - undefined
Kendriya Vidyalaya School (I.I.T)
Skills
- Problem-Solving
- Credentialing oversight
- Database Management
- Documentation
- Verification-Expert
- Regulatory Compliance
- Quality Assurance
- Auditing files
Associate Id
668609
Marital Status
Married
Personal Information
- Date of Birth: 09/02/96
- Nationality: Indian
Disclaimer
I hereby declare that particulars and facts stated here in above are true, correct and complete to the best of my knowledge and belief.
Timeline
Credentialing Specialist
Cognizant Technology Solutions
11.2017 - 06.2024
HSC (Commerce) -
Vana Vani Matriculation Higher Secondary School
06.2011 - 04.2013
B.Com (A&F) -
Dr. MGR Janaki College of Arts & Science, Madras University
SSLC - undefined
Kendriya Vidyalaya School (I.I.T)
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