# Farrah Hays Farrah Hays is a remote worker on Himalayas, Privileging Specialist at Sevaro Health, based in United States. Source: https://himalayas.app/@farrahhays ```text Credentialing and Contracting Lead at Nira Medical; managed multi-state enrollment, contracting, and privileging. ``` | Detail | Value | | --- | --- | | Availability | Looking for a job | | Location | United States | | Authorized to work in | United States | | Salary expectations | 90k+ USD | | Job categories | Provider Credentialing Specialist, Credentialing Manager, Provider Enrollment Specialist, Medical Staff Specialist, Privileging Specialist, Payer Enrollment Specialist, Contracting Specialist, Revenue Cycle Specialist, Healthcare Operations Manager | | Skills | Provider Credentialing, Payer Enrollment, Hospital Medical Staff Privileges, Recredentialing, Credentialing Operations, Revenue Cycle Management, Payer Contracting, Medicare Enrollment, Medicaid Enrollment, CAQH, PECOS, Roster Management, Revalidation, Primary Source Verification | ## What I'm looking for ```text I'm seeking roles in credentialing leadership, provider or payer enrollment, medical staff services, hospital privileging, contracting, revenue cycle, or healthcare operations. ``` ## About ```text At Nira Medical, I led credentialing, payer enrollment, contracting, and hospital privileging operations for provider groups across Utah, Colorado, Florida, and Texas. I managed onboarding, recredentialing, revalidations, and roster maintenance. At Sevaro Health, I managed hospital privileging workflows for physicians and advanced practice providers, coordinating credential verification and follow-up with facilities and medical staff offices. At Advantum Health, I supported payer contracting and revenue-cycle issue resolution, overturned approximately 75% of disputed denials, and maintained 95%+ client retention. At Primary Children's Hospital, I managed work across health information management, billing, patient financial services, medical records, and quality reviews. I supervised teams of approximately 10–20 staff and worked with Epic, Cerner, 3M, Encoder, and Meditech. ``` ## Experience ### Privileging Specialist Sevaro Health. Feb 2026 - May 2026 ```text Managed hospital privileging workflows for physicians and advanced practice providers, including initial appointments, reappointments, privilege requests, credential verification, and facility follow-up. Reviewed provider files for completeness and accuracy, tracked missing or expiring documentation, and coordinated with providers and medical staff offices to resolve deficiencies. ``` Skills: Hospital-Medical-Staff-Privileges, Credential-Verification, Provider-Onboarding, Compliance, Medical-Staff-Services ### Credentialing & Contracting Lead Nira Medical. Mar 2025 - Nov 2025 ```text Led credentialing, payer enrollment, contracting, and hospital privileging operations supporting provider groups across multiple states. Managed end-to-end onboarding, recredentialing, CAQH, PECOS, Medicare/Medicaid and commercial enrollment, revalidations, roster maintenance, CHOWs, and ongoing provider support. ``` Skills: Credentialing, Payer-Enrollment, Contracting, CAQH, PECOS, Medicare, Medicaid, Roster-Management, Revalidation, CHOW ### Credentialing Coordinator [DaVita Kidney Care](https://himalayas.app/companies/davita-kidney-care). Sep 2023 - Mar 2025 ```text Onboarded providers and mid-level practitioners for NPS practices and MSO clients, completing commercial and government payer enrollment from application through effective status. Coordinated hospital affiliations and investigated Epic credentialing errors affecting revenue, documenting issues and routing corrections to appropriate teams. ``` Skills: Credentialing, Payer-Enrollment, Epic, Provider-Onboarding, Affiliation ### Senior Credentialing Specialist Synergy Healthcare. Apr 2021 - Sep 2023 ```text Managed credentialing and payer enrollment for approximately 150 physicians, nurse practitioners, and physician assistants, including new enrollments, revalidations, recredentialing, rosters, and demographic updates. Worked across CAQH, PECOS, Availity, Athenahealth, payer portals, and internal trackers to resolve deficiencies and maintain billing eligibility across commercial, government, and tri ``` Skills: Credentialing, Payer-Enrollment, CAQH, PECOS, Availity, AthenaHealth, Revalidation, Recredentialing, Roster-Management ### Senior Credentialing Specialist Advantum Health. Feb 2019 - Apr 2021 ```text Facilitated monthly Credentialing Committee meetings, maintained provider enrollment files, supported delegated payer audits, and reported credentialing activity to executive leadership. Supported payer contracting and revenue-cycle issue resolution, overturning approximately 75% of disputed denials and maintaining 95%+ client retention. ``` Skills: Credentialing, Payer-Audits, Contracting, Revenue-Cycle-Management, Denial-Management, Customer-Retention ### Hospital Privilege Coordinator MEDIGOLD / Mount Carmel Health System. Feb 2018 - Feb 2019 ```text Supported hospital privileging and medical staff processes for a network of 1,000+ providers, including initial appointments, reappointments, primary-source verification, delineation of privileges, and file preparation. Prepared provider files for Credentialing Committee, Medical Executive Committee (MEC), and department review, and processed 100+ privilege-related items per day. ``` Skills: Hospital-Medical-Staff-Privileges, Primary-Source-Verification, Credentialing-Committee, MD-Staff, Cactus, Symplify, Credential-MyDoc, Epic ### HIIM Billing / Credentialing Manager Primary Children's Hospital. Jan 2014 - May 2017 ```text Managed operations spanning Health Information Management, billing, patient financial services, medical records, credentialing exposure, and quality/audit workflows in a pediatric hospital environment. Oversaw staff training, coaching, issue resolution, technical support, and quality reviews, supervising teams of approximately 10-20 staff. ``` Skills: Health-Information-Management, Billing, Credentialing, Team-Leadership, Epic, Cerner, 3M-Products, Encoder, Meditech ## Education ### Weber State University Bachelor of Arts, Microbiology. 2013 - 2017. Grade: 3.5 ```text Bachelor of Arts in Microbiology from Weber State University, completed from 2013 to 2017 with a GPA of 3.5. ``` ## Tech stack - Salesforce - Cactus - monday.com - Epic - Availity - Microsoft 365 - MEDITECH - athenahealth To contact Farrah, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire). ## People also viewed - [Astrid Carl](https://himalayas.app/@astridcarl): Director – Credentials, Brownsville Multifamily Health and Wellness Centers - [Dreama Hembree](https://himalayas.app/@dreamahembree): Credentialing Manager / Account Manager, Quadris Team - [DeVonda Claxton](https://himalayas.app/@devondaclaxton): Hospital Credentialing Coordinator, RadPartners - [Naomi C](https://himalayas.app/@naomic): Senior Manager, Credentialing, Nephrology Associates of Northern Illinois & Indiana - [Kristen King](https://himalayas.app/@kristenking): Associate Credentialing Manager, Epic Government (formerly FSR) - [Simone Lewis](https://himalayas.app/@simonelewis1): Quality Systems Coordinator, GenesisCare USA - [Stacy Martin](https://himalayas.app/@stacymartin1): Credentialing Manager, AllyAlign Health - [Sarah Fernandes](https://himalayas.app/@sarahfernandes1): Credentialing Platform Specialist, Retina Consultants of America - [porshue green](https://himalayas.app/@porshuegreen): Delegated Credentialing Specialist, Hackensack Meridian Health - [Raheem Gibson](https://himalayas.app/@raheemgibson): Credentialing Specialist, Mendota Health