Rama Krishnan

Led end-to-end provider credentialing operations, including initial and re-credentialing as well as delegated, non-delegated, hospital-based, and facility-based credentialing (DME). Managed blended non-delegated processes while maintaining high accuracy and driving a performance-focused team culture.

Managed end-to-end provider credentialing and enrollment for multi-specialty doctors, organizations, and facilities. Handled voice, non-voice, and email client support, maintained CAQH profiles, and coordinated with payers to ensure timely credentialing and re-enrollment.

Verified provider credentialing and enrollment data using voice and non-voice workflows and resolved discrepancies through email communication with payers and clients. Managed multiple clients and payers concurrently while producing accurate weekly reporting and supporting onboarding and process transitions.

Served as a Senior Process Executive for provider operations (non-voice), handling provider enrollment, data validation, and documentation for large-scale payer engagements. Consistently met productivity and quality benchmarks over a 5+ year tenure.

Performed provider data analysis and management in a non-voice healthcare process, ensuring accuracy and integrity of provider records across payer systems. Supported reliable provider data handling through careful attention to detail and analytical validation.

Grade: 60%

Completed a B.Sc. in Zoology in 2013, scoring 60%.

Grade: 75–79.9%

Completed Higher Secondary (12th) education in 2010 with a grade in the 75–79.9% range.

Grade: 70–74.9%

Completed Secondary School (10th) education in 2008 with a grade in the 70–74.9% range.