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Credentialing Specialist
Self Employed • Trabajador autónomo
Jan 2020 - Present • 6 yrs 6 mos
Managed end-to-end provider credentialing and enrollment for healthcare providers, clinics, and group practices. Specialized in Medicare (PECOS), Medicaid (PAVE), CAQH profile management, commercial insurance credentialing, provider licensing, NPI registration, revalidation, EFT/ERA/EDI enrollment, and payer follow-up. Ensured accurate documentation, regulatory compliance, timely submissions, and effective communication while maintaining confidentiality throughout the credentialing process.