Results-driven Medical Billing and Credentialing Specialist with experience in credentialing providers, resolving claim denials, and managing AR accounts. Committed to accuracy, compliance, and efficient revenue cycle operations.

Knowledgeable with CAQH ProView, NPI (v1 and v2), PECOS, and OIG compliance.
Knowledgeable with Dental Insurance Portal, Salesforce , Dentrix and Eaglesoft
Experience in Physician and Midlevel provider healthcare credentialing.
Verbal Communication
Written Communication
Proficiency in Microsoft Office Suite and credentialing software

I am a Healthcare Virtual Assistant who specializes
in Revenue Cycle Management. I have gathered years of experience working with US based home health care account. I have extensive knowledge in using EMR, EHR, clearing house, Health insurance portal and checking of patient eligibility. Credentialing Specialist is one of my expertise

I'm a versatile individual with proven experience in credentialing, onboarding and customer service for almost 3years. My experiences in contracting and credentialing within the US healthcare
system, including provider enrollment, managing payor agreements, and
ensuring compliance with regulatory requirements for various healthcare
providers.
Enrolling in relevant health insurance and facilitating the credentialing, re-
credentialing, and privileging processes are among the many tasks it
facilitates. Specifically enrollments for Carelon, Aetna, UHC, Medicare,
Medicaid, BCBS, Cigna/Evernorth and other commercial health insurance.

15+ Years of Operations and Technical Expertise | HIPAA-Compliant Healthcare VA

I specialize in streamlining complex operations for U.S.-based healthcare facilities and technical service providers. As a current Assistant Credentialing Manager, I lead end-to-end provider onboarding, ensuring 100% compliance with high-stakes regulatory standards.

How I support your business:

* Healthcare Operations: Expert in Provider Credentialing, Primary Source Verification (PSV), and managing CAQH ProView.
* Technical Support (Tier 2): Advanced troubleshooting for VoIP, SaaS, and network connectivity with a focus on resolving complex enterprise-level issues.
* Data Integrity & Compliance: Deep experience in maintaining strict HIPAA standards while managing complex digital compliance records.
* Operations Management: Strategic timeline tracking to prevent revenue loss and ensure seamless integration of new staff.

I offer the reliability of a seasoned technical expert with the precision required for medical administration.

Experienced Medical Biller and Credentialing Specialist with over four years of expertise in healthcare administration, specializing in behavioral health practices. I excel in benefits and eligibility verification, claims submission, denial management, and accounts receivable (AR) follow-up. As a former team leader, I successfully trained and mentored staff to optimize workflows and improve operational efficiency.

My skills include:
Proficiency in ICD-10 coding and compliance Extensive knowledge of PPO and HMO billing processes. Strong command of EHR systems like Tebra and TherapyNotes. Effective communication with insurance carriers to resolve issues and secure reimbursements. I am highly organized, detail-oriented, and dedicated to delivering accurate and efficient billing services. Whether you're looking to streamline credentialing, resolve claim denials, or improve your revenue cycle, I am committed to providing top-notch support tailored to your needs.
Let’s work together to ensure your practice operates smoothly and achieves financial success!

Hardworking and can work under pressure

Provider Credentialing Specialist, utilizing my 8 years of experience in Provider Credentialing and Enrollment. Ensures that all healthcare Providers, hospitals, or other healthcare facility have the proper certification, license, or credentials to practice. Including follow up with Healthcare Insurance to confirm that the Healthcare Providers are and enrolled and Participating with the Insurance. CAQH Profile updates and attestation.

I specialize in finance, accounting, and even in US healthcare industry! With combined years of experience in these areas, I am dedicated to delivering top-notch results and exceeding clients expectations.

Here's what I bring to the table:
Anything that you will ask for, I will make sure to deliver.
Detail-Oriented: I pay meticulous attention to detail, ensuring high-quality work every time.
Innovative Solutions: I thrive on creativity and innovation, always looking for fresh approaches to projects.
Results-Driven: My goal is to deliver measurable results that align with your objectives and vision.
Clear Communication: Open and transparent communication is key to successful collaborations. I keep you updated every step of the way. I value teamwork and actively involve clients in the process to ensure their satisfaction.

Whatever you need, I'm here to help you achieve your goals. Let's collaborate and turn your ideas into reality!

Please don't hesitate to reach out with any questions or project inquiries. I'm excited to work with you and contribute to your success.
Thank you for considering my profile. Let's create something amazing together!

Hi, I’m Nelma. I am an administrative professional with a diverse background spanning specialized Australian accounting support, corporate customer service, and virtual assistance.

Currently, I work closely with an Australian accounting firm handling complex back-office administrative tasks. I am highly comfortable navigating AU tax and superannuation tools—regularly working with Xero, MYOB AE, Class, Fathom, and Heffron, as well as handling official lodgments through ATO SmartDocs and GovReports. From managing payment plans and direct debits to sorting out billing discrepancies and keeping firm databases immaculate, I make sure the financial and compliance operations run smoothly behind the scenes.

Beyond the technical accounting tools, my background includes extensive experience in lead generation, cold calling, high-volume customer service (at Accenture), and credentialing compliance. Because of this, I bring a unique mix of sharp data accuracy and excellent client communication.

If you are looking for a reliable, tech-savvy assistant who can manage your inbox, interface with your clients professionally, and easily handle specialized accounting admin platforms with minimal supervision, let's connect!

I am a healthcare administrative professional with experience supporting U.S. healthcare providers, insurance members, and healthcare recruitment operations. I specialize in healthcare administration, provider support, onboarding coordination, healthcare documentation, scheduling, and credentialing support within fast-paced HIPAA-regulated environments.

With nearly 5 years of experience in healthcare recruitment administration and 3 years supporting U.S. healthcare accounts, I have developed strong organizational, communication, and multitasking skills while handling sensitive healthcare information with accuracy and confidentiality.

I am experienced in working with healthcare systems and administrative platforms such as Bullhorn, Workday, eRecruit, Relias, Microsoft Office, and other healthcare support tools. I am also comfortable handling high-volume administrative tasks, coordinating workflows, supporting onboarding processes, and assisting with quality assurance activities.

I am currently seeking part-time remote opportunities as a Medical Virtual Assistant or Healthcare Administrative Support professional where I can contribute my healthcare operations experience, attention to detail, and strong coordination skills.

Experienced in US Healthcare staffing and Technical support

A dedicated Medical Virtual Assistant with extensive experience in Credentialing, Insurance Verification, and Medical Revenue Cycle Management (RCM). I am committed to streamlining healthcare operations and ensuring compliance with industry standards. My background combines in-depth knowledge of medical office procedures with a passion for supporting healthcare providers and improving patient care through efficient administrative practices.

I'm a punctual and multitasker. I really love spending my time doing different tasks at the same time. Also, I'm a Microsoft literate and I can manage everything that will be assigned to me. I love exploring new things that could improve my current skills. Lastly, I believe that " Time is gold" which I always make sure to manage my own time in every tasks that I do.

I am a certified Virtual Assistant with extensive experience in healthcare credentialing and provider enrollment. I manage and monitor CAQH profiles and Availity PDM, track enrollment submissions, verify credentials, and closely monitor the status of applications submitted to major insurance companies. I submit documentation to commercial payers for medical and behavioral services, including Aetna, Humana, Cigna, UnitedHealthcare, Optum, and others. I also research enrollment requirements for specific plans and networks, resolve out-of-network issues, and ensure all documentation meets compliance standards.

In addition to credentialing, I offer general virtual assistant services such as email and calendar management, social media support, and SEO. I take pride in being detail-oriented, dependable, and committed to helping healthcare teams stay organized and efficient.