Experience

Vericle - Health IT and RCM services
• United States
• Medical Practices
• 1 - 100 Employee
• Credentialing Coordinator

  • Jul 2022 - Present


Bikham Healthcare

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Credentialing Coordinator

  • Nov 2020 - May 2022

  • Contacted the insurance via emails to get the provider participation • Worked with the CAQH to maintain the provider profile. • Provide support to the team members and manage the team • Trained the new joiners in the team and budding them until they are steady with the process. • Managed refresher course trainings • Contacted the insurance via emails to get the provider participation • Worked with the CAQH to maintain the provider profile. • Provide support to the team members and manage the team • Trained the new joiners in the team and budding them until they are steady with the process. • Managed refresher course trainings



Omega Healthcare Management Services

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Accounts Receivable Specialist

  • Feb 2019 - May 2020

  • Contacted the insurance via calls for the provider claim status • Worked with the Medical Billing denial and took the appropriate actions • Was part of the Pilot team to set up the collection base process • Performed following up activity on outstanding physician claims. • Worked on Old claims and received payments. • Good communications skills utilized in resolving the queries. • Contacted the insurance via calls for the provider claim status • Worked with the Medical Billing denial and took the appropriate actions • Was part of the Pilot team to set up the collection base process • Performed following up activity on outstanding physician claims. • Worked on Old claims and received payments. • Good communications skills utilized in resolving the queries.



RND SOFTECH

• India
• Outsourcing and Offshoring Consulting
• 200 - 300 Employee

• Credentialing Coordinator

  • Jul 2016 - Feb 2019

  • Started as Customer Service Executive for Medical Billing for US Region to Verify the provider participation with the insurance. • Submitted applications to the insurance via portal. • Got promoted as Sr. Customer Service Representative. • Made regular conversation through email for additional documents with the payer to process the applications • Made the provider par and collected the effective date and the ID# for the providers. • Started as Customer Service Executive for Medical Billing for US Region to Verify the provider participation with the insurance. • Submitted applications to the insurance via portal. • Got promoted as Sr. Customer Service Representative. • Made regular conversation through email for additional documents with the payer to process the applications • Made the provider par and collected the effective date and the ID# for the providers.