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Jelly Sarbida

@jellysarbida

Payor relations and contracting specialist at FORTA managing provider enrollment, credentialing, and payer requests.

At FORTA, I manage payor relations, contracting, credentialing, and enrollment for healthcare and behavioral healthcare providers. I coordinate with Medicaid, commercial, and managed care payers on enrollment, contracting, and network participation.

I process contract amendments, add-to-group requests, disenrollment, and SCA/OON/INN requests. I also maintain provider information, including NPI, Tax ID, W-9, rosters, demographics, and entity details, and follow up with payers on applications and outstanding requirements.

Previously, I managed credentialing and enrollment applications at FORTA and BOLD BUSINESS, and submitted applications and monitored payer status at CR8 SOLUTIONS. My work included reviewing documentation, maintaining CAQH profiles, and verifying provider data against payer requirements.

Experience

Work history, roles, and key accomplishments

Payor Relations and Contracting Associate

FORTA

Dec 2025 - Jan 2027 (1 year 1 month)

Managed payor relations, contracting, credentialing, and enrollment for healthcare and behavioral healthcare providers. Coordinated with Medicaid, commercial, and managed care payers on enrollment, contracting, and network participation.

Payor Relations Contracting Credentialing Provider Enrollment Medicaid Commercial Payers Managed Care CAQH Payer Portals Provider Data Management

Credentialing Specialist

FORTA

Sep 2025 - Dec 2025 (3 months)

Managed provider credentialing and enrollment applications for Medicaid, commercial, and managed care payers. Reviewed provider applications and supporting documentation to ensure completeness and compliance with payer requirements.

Credentialing Provider Enrollment Medicaid Commercial Payers Managed Care CAQH Documentation Review Compliance

Executive Marketing Assistant

CR8 Solutions

Mar 2025 - Sep 2025 (6 months)

Submitted applications and monitored payer status and outstanding requirements. Reviewed applications and documentation for completeness and payer requirements.

Provider Enrollment Payer Portals Documentation Review Data Verification Coordination

Credentialing Specialist

Bold Business

Aug 2024 - Mar 2025 (7 months)

Managed provider credentialing and payer enrollment activities. Prepared and verified provider documentation for payer submission and conducted provider data verification.

Credentialing Provider Enrollment Payer Portals Data Verification Documentation Review Record keeping