Skip to main content
HimalayasHimalayas logo
Peaches UserPU
Open to opportunities

Peaches User

@peachesuser

Credentialing coordinator and credentialing manager with 7+ years ensuring provider compliance, privileging, and payer enrollment.

United States
Message

What I'm looking for

I’m looking for a credentialing role where I can ensure provider compliance and privileging, manage payer enrollment and licensing workflows, follow Joint Commission/NCQA standards, and coordinate with teams to deliver accurate, audit-ready results.

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

UT Health Science Center logoUC
Current

Credentialing Coordinator

Aug 2024 - Present (1 year 10 months)

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.

MH

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.

Education

Degrees, certifications, and relevant coursework

LI

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.

ES

East Central High School

High School Diploma

Earned a high school diploma.

Tech stack

Software and tools used professionally

Find your dream job

Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan