Shilpa Kumari
Acting Team Leader, Credentialing
Mohali
Summary
Proven leader with a track record of enhancing team productivity and quality at Knack Global. Excelled in team supervision and problem-solving, ensuring compliance and improving processes. Skilled in documentation and mentoring, boosted performance by fostering collaboration and maintaining high standards. Achieved significant improvements in team efficiency and compliance adherence.
Overview
4
4
years of professional experience
5
5
years of post-secondary education
Work History
Acting Team Leader
Knack Global
Mohali
01.2020 - Current
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Set performance expectations for team, monitoring progress towards goals and providing constructive feedback as needed.
- Conducted initial and re-credentialing reviews for healthcare providers, maintaining compliance with organizational and regulatory requirements.
- Managed provider files and documentation, ensuring completeness and accuracy.
- Prepared and submitted credentialing applications to insurance companies and government agencies.
- Facilitated communication between providers and credentialing committees to resolve credentialing-related issues.
- Conduct comprehensive reviews and verifications of credentials, certifications, and licensure for providers.
- Prepare and submit licensing applications to regulatory bodies, ensuring accuracy and completeness.
- Maintain up-to-date knowledge of regulatory changes and updates affecting licensing requirements.
- Collaborate with legal and compliance teams to resolve licensing issues and ensure adherence to regulatory standards.
- Maintain and update Provider CAQH profiles for group of healthcare professionals, ensuring accuracy and compliance with organizational and industry standards.
- Facilitate initial setup and ongoing updates of provider profiles, including personal information, education, training, licensure, and work history.
- Collaborate with providers and internal teams to resolve any discrepancies or issues in CAQH profiles promptly.
- Monitor and manage re-attestation cycles for providers to ensure profiles are current and meet credentialing requirements.
- Train new providers and staff on CAQH registration and maintenance procedures.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Set performance expectations for team, monitoring progress towards goals and providing constructive feedback as needed.
Education
Bachelor of Technology - Computer Science And Engineering
Shiva Institute of Engineering And Technology
Bilaspur, India 06.2018 - 06.2023
Skills
Team Supervision
Teamwork and Collaboration
Work Planning
Team motivation
Quality Improvement
Documentation And Reporting
People Management
Mentoring
Problem-Solving
Timeline
Acting Team Leader
Knack Global
01.2020 - Current
Bachelor of Technology - Computer Science And Engineering
Shiva Institute of Engineering And Technology
06.2018 - 06.2023
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