SHWETHA M. C
Summary
To work in a challenging environment demanding all my skills and adapt myself in different fields for the development of the organization with impressive performance.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Credentialing Specialist
Svast Healthcare Technologies
06.2023 - 09.2024
Full Time -June 2023 to Apr 2024
Part Time -June 2024 to Sept 2024
- Reaching out to payer and checking provider's network status
- Filling out the applications and submitting to payers and following up with them in a timely manner
- Working to CAQH profile, uploading the documents and re attesting the profile and keep it active
- Completing initial and re credentialing applications for commercial payers and Medicaid (NM and FL State)
- Preparing status report and sending it to client and keeping them updated
- Coordinating with Client Service Executive from states side to discuss and resolve credentialing issues
- Assisting and training the team members about provider credentialing, CAQH, addressing emails and follow ups
Credentialing Specialist –3
EqualizeRCM Services, Mysore
05.2018 - 06.2023
- Reaching out to payer and checking provider's network status
- Filling out the applications and submitting to payers and following up with them in a timely manner
- Working to CAQH profile, uploading the documents and re attesting the profile and keep it active
- Completing initial and re credentialing applications for commercial payers
Education
BE - ECE
ATME College of Engg, Mysore
01.2017
PUC - PCMC
VIDHYAASHRAM pu college
01.2013
SSLC - undefined
Nirmala high school V.V.MOHALLA
01.2011
Skills
- MS office
- 1st Cred
- 1st Cred Helper
- Svast Credentialing App
Languages
Languages Known: Kannada, English, Hindi, Tamil and Tulu.
Certification
- Completed Certified Professional Coder (CPC) Training from Infometiz Bangalore - May 2024 - October 2024.
- Certified from AAPC with 81% - December 2024.
Training
Undergone certificate course on advance telecom technology at RTTC, MYSORE in digital switching and wireless communication.
STRENGTHS
- Willingness to learn new things.
- Ability to work both individually as well as in a team.
- Commitment towards any job assigned and gets a lot of satisfaction out of completing them well.
Disclaimer
I hereby declare that all the information furnished above is true to the best of my knowledge and I bear responsibility for the correctness of the above mentioned particulars. Place: Bangalore Date
Timeline
Senior Credentialing Specialist
Svast Healthcare Technologies
06.2023 - 09.2024
Credentialing Specialist –3
EqualizeRCM Services, Mysore
05.2018 - 06.2023
PUC - PCMC
VIDHYAASHRAM pu college
SSLC - undefined
Nirmala high school V.V.MOHALLA
BE - ECE
ATME College of Engg, Mysore
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