Peaches User
@peachesuser
Credentialing coordinator and credentialing manager with 7+ years ensuring provider compliance, privileging, and payer enrollment.
What I'm looking for
I’m a credentialing professional with 7+ years of experience owning the credentialing and privileging process for physicians, non-faculty providers, residents, and students. I’m responsible for assuring proper credentialing and privileging while maintaining highly organized compliance for licensures, appointments, and certifications with state and governmental agencies.
Across UT Health Science Center and multiple remote roles, I coordinate application management and primary source verification following Joint Commission guidelines. I host meetings with departments and providers, manage confidential files, and keep state and facility processes moving by monitoring deadlines and reviewing required documentation.
I’ve also led teams and improved throughput in licensing and facility credentialing. As a Credentialing Manager/Specialist and Team lead for PECOS/TMHP/NPPES workflows, I created reports, monitored state license applications, and completed primary source verification while collaborating with facilities and telemedicine providers across multiple specialties.
My work spans payer enrollment and provider onboarding for clinics and physicians nationwide, including telemedicine-focused credentialing. I use tools like Salesforce and Excel alongside platforms such as Modio, MDStaff, and additional credentialing systems to provide accurate updates, audit-ready files, and clear communication.
Experience
Work history, roles, and key accomplishments
Managed credentialing and privileging workflows for physicians, non-faculty providers, residents, and students while maintaining compliance for licenses, certifications, and appointments with state and governmental agencies. Coordinated confidential file handling, hosted status meetings, and supported general inquiries.
Credentialing Specialist
Frequent Neuromonitoring Associates
Jul 2023 - Mar 2024 (8 months)
Managed payer enrollment applications for IONM (MD/DO) and telemedicine neurologists, including state license and facility applications. Completed primary source verification per Joint Commission guidelines and maintained department reporting using Salesforce and Excel.
Credentialing Specialist
MPower Health
Jan 2023 - Mar 2023 (2 months)
Delivered payer enrollment support for IONM/NP/IOM physicians and handled state license and facility applications for telemedicine neurologists as an independent contractor. Updated department reporting using Salesforce and Excel.
Credentialing Account Manager
Catalyst Consulting
May 2021 - Mar 2022 (10 months)
Prepared and managed payer enrollment applications for clinics and physicians nationwide. Reviewed and presented insurance participation contracts for clients with health insurance plans and supported ongoing enrollment documentation.
Credentialing Specialist
MPower Health
Mar 2019 - May 2021 (2 years 2 months)
Supported payer enrollment and state/facility credentialing for IONM and telemedicine providers, including facility applications for PA-C and NP. Prepared and audited files for medical board review and coordinated reporting updates across departments using Salesforce and Excel.
Credentialing Account Manager
Kareo, Inc.
Jan 2018 - Mar 2019 (1 year 2 months)
Enrolled and managed health insurance participation for clinics and facilities nationwide. Completed administrative credentialing tasks using Intellisoft, Microsoft platforms, and Salesforce.
Worked overnight stocking across multiple departments, building displays and maintaining inventory on shelves. Promoted to overnight produce associate and then overnight customer service manager, overseeing overnight cashiers and daily operations.
Education
Degrees, certifications, and relevant coursework
Lamson Institute
Medical Billing and Coding and Office Administration Certificate, Medical Billing and Coding / Office Administration
2018 -
Completed a certification program in medical billing and coding and office administration.
East Central High School
High School Diploma
Earned a high school diploma.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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