I am an experienced Credentialing Specialist with hands-on experience supporting healthcare provider enrollment, credentialing, recredentialing, and contracting processes with Medicaid Managed Care Organizations (MCOs), government programs, and healthcare networks.
My experience includes coordinating provider applications, verifying licensure and certifications, managing CAQH profiles, updating NPPES records, maintaining credentialing documentation, tracking application status, and communicating with health plans, credentialing departments, and regulatory agencies to ensure timely processing.... Read more