Credentialing & Provider Enrollment Specialist | Medical Billing & RCM | Prior Authorization | Insurance Verification | Medical Virtual Assistant

Healthcare Operations | Credentialing | Provider Enrollment | RCM | Prior Authorization

I’m a detail-oriented healthcare professional with 6+ years of hands-on experience supporting U.S. healthcare providers and medical practices remotely, with additional experience in customer service, technical support, and virtual assistance.

My core expertise includes provider credentialing, payer enrollment, CAQH ProView, medical billing, revenue cycle management (RCM), prior authorization, insurance verification, medical coding/encoding, charge entry, claims processing, payment posting, denial management, A/R follow-up, appeals, patient intake, and medical scribing.

Credentialing & Provider Enrollment: I have experience researching payer requirements, gathering and submitting provider and group credentialing documents, preparing Letters of Intent, following up with payers, maintaining CAQH profiles and practice locations, re-attestation, ProView Express, NPI verification, license verification, payer portal registration, and tracking enrollment activities through completion.

Revenue Cycle & Medical Billing: My experience includes charge entry/encoding, claim submission, insurance eligibility and benefits verification, payment posting, A/R follow-up, denial and rejection management, EOB/ERA review, underpayment investigation, claim corrections, and appeals.

Prior Authorization & Clinical Support: I have processed prior authorizations for medications and procedures using Cover-----------ds, coordinated with insurance companies and providers, monitored authorization status, gathered supporting documentation, and followed up on pending requests.

I am experienced with CAQH ProView, ProView Express, Availity, Cover-----------ds, Practice Fusion, Practice Q, Tebra, CollaborateMD, Updox, Airtable, -----------, Google Drive, Zendesk, Recurly, -----------, Weave, and RingCentral.

I’m comfortable working independently in remote environments, managing high-volume workloads, communicating with providers, patients, payers, and insurance representatives, and maintaining accurate and HIPAA-conscious documentation.

I am currently seeking remote opportunities in:
• Credentialing & Provider Enrollment
• Payer Enrollment
• Revenue Cycle Management
• Medical Billing
• Prior Authorization
• Insurance Verification
• Healthcare Operations
• Medical Virtual Assistance

I’m reliable, organized, detail-oriented, proactive, and committed to delivering accurate work and dependable support.