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Alexandria C
@acprovider
Credentialing and Provider Payer Enrollment Analyst
Stati Uniti
Inglese
Chi sono
I am a Credentialing and Provider Enrollment professional with over 10 years of experience supporting payer enrollment, Medicare and Medicaid enrollment, and regulatory compliance. I specialize in NCQA standards, primary source verification, and provider data management using tools like CredentialStream and Echo. I have a proven track record in managing provider onboarding and quality audits.
Competenze
Alexandria C
offline •
Tempo di risposta medio: 3 ore
Consulta i miei servizi
Assistenza generale
I will complete provider credentialing and insurance enrollment
Portfolio
Esperienza lavorativa
Not Found
3 yrs 6 mos
Advisory Services Analyst
Jan 2025 - Present • 1 yr 6 mos
Support provider operations, onboarding workflows, operational reporting, and provider data maintenance. Analyze provider and credentialing data to identify discrepancies and support compliance and process improvement initiatives.
Credentialing Consultant
Apr 2024 - Jan 2025 • 9 mos
Reviewed credentialing applications and supporting documentation for completeness, accuracy, and compliance. • Performed primary source verification and resolved documentation discrepancies. • Maintained provider records and supported audit readiness through accurate credentialing documentation
Payer Enrollment Specialist
Apr 2023 - Jul 2024 • 1 yr 3 mos
Completed provider enrollment applications with Medicare, Medicaid, and commercial insurance carriers. Managed CAQH profiles, tracked payer enrollment status, resolved application deficiencies, updated provider information, and worked directly with providers and payer representatives to ensure successful enrollment and timely reimbursement.
