Overview
Looking for full-time work (8 hours/day)
at $6.61/hour ($1,272.74/month)
Bachelors degree
Last Active
June 12th, 2026 (14 days ago)
Member Since
December 18th, 2022
Profile Description
Manages provider credentialing and re?credentialing for multispecialty clinics, ensuring timely enrollment with payers and compliance with accreditation and regulatory standards.
Utilizes credentialing portals such as CAQH ProView, PECOS, NCTracks, and payer-specific platforms to verify credentials, submit applications, track deadlines, and maintain data accuracy.
Resolves credentialing issues involving licensure discrepancies, malpractice history, or privileging conflicts, ensuring timely provider activation and regulatory compliance.
Collaborates with providers, payers, and internal departments to obtain required information, address disputes, and facilitate timely reimbursements and network participation.
Coordinates hospital privilege applications, including submission, follow-up, and confirmation of appointments and privileges.
Supports contract applications and renewals by acting as liaison between providers and payers, ensuring complete documentation and timely processing.
Top Skills
Other Skills
Basic Information
- Age
- 32
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Tests Taken
- None
- Government ID
- Sign Up with Pro Account to View
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
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