At [Organization Name], I managed the credentialing and re-credentialing lifecycle for healthcare providers, maintaining accuracy and compliance with payer and regulatory requirements.
I set up and maintained EDI, ERA, and EFT enrollments with insurance payers, and resolved transmission and enrollment issues. I also completed provider profiles in CAQH, PECOS, NPPES, and payer portals.
I conducted primary source verification and tracked renewals to help prevent lapses in provider status. I maintained credentialing records and supported audits and accreditation reviews by keeping documentation complete and readily available.
