At Children’s Healthcare of Atlanta – Cardiology, I manage full-cycle credentialing and recredentialing, prepare payer enrollment applications, and maintain provider records in line with NCQA, CMS, state, and payer-specific regulations. I also create, update, and reattest CAQH profiles and follow up on outstanding provider documentation.
At Blue Cross Blue Shield of North Carolina (BCBS NC), I credentialed providers and facilities, maintained data in Facets and Macess, and configured provider networks. Earlier, at Prospira PainCare, I led new hire training and supported patient financial services using EPIC. I hold a Bachelor of Science in Healthcare Administration and the CPAR certification.
