Director Of Payer Credentialing And Enrollment
Current
Mar 2024 - Present
AeroLeads people directory · profile
Melissa C. Email & Phone Number
Director of Payer Credentialing and Enrollment
at
CardioOne
LinkedIn matched
✓ Verified Jun 2026
3 data sources
Profile completeness 86%
Current company
Role
Director of Payer Credentialing and Enrollment
Location
Marietta, Georgia, United States
Who is Melissa C.? Overview
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Quick answer
Melissa C. is listed as Director of Payer Credentialing and Enrollment at CardioOne, based in Marietta, Georgia, United States. AeroLeads shows a matched LinkedIn profile for Melissa C..
Melissa C. previously worked as Independent Consultant at Third Bridge Group Limited and Independent Consultant at Delegated Credentialing Pro'S. Melissa C. holds Bachelor Of Science - Bs, Interdisciplinary Social Sciences from Kansas State University.
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CardioOne
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Profile bio
About Melissa C.
As the Director of Payer Credentialing at CardioOne, I lead and manage the credentialing and enrollment processes for our partner Cardiologists and their care teams. I leverage my 26+ years of experience and subject matter expertise to ensure compliance, accuracy, and efficiency in all credentialing and enrollment activities.I am passionate about improving patient outcomes by facilitating the timely enrollment of providers with various payers and networks. I also enjoy sharing expertise as an Independent Consultant, providing solutions and training to various healthcare organizations. My mission is to optimize credentialing and enrollment processes and systems to enhance provider engagement resulting in increased revenue.
Current workplace
Melissa C.'s current company
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9 roles
Melissa C. work experience
A career timeline built from the work history available for this profile.
Independent Consultant
Independent Consultant
Independent Consultant
Gerson Lehrman Group, Ltd.
Associate Director Of National Credentialing And Enrollment
Oversee health plan enrollments for 5,500+ providers across a complex network of TINs, provider types, and service lines ensuring compliance with regulatory requirements, NCQA delegation, growth plans, and timelines. Collaborate with stakeholders on new market expansions in the Mid-Atlantic, Northwest, South, and Western regions. System Administrator and.
Jan 2023 - Jan 2024
Director Of Payer Relations
Oversight of credentialing, affiliation, privileging, and enrollment teams for 450+ providers across multiple TINs for Anesthesia, Ancillary Services, and Gastroenterology service lines within Georgia and Florida.System Administrator and SME for Verity CredentialStream. Successfully implemented new credentialing software within a three-month timeline..
Nov 2020 - Nov 2022
Managed Care And Credentialing Director
Oversight of credentialing, privileging, and enrollments for 250+ highly subspecialized radiology and neuroradiology providers and radiologic technologists across multiple TINs within 30+ joint ventures and independent diagnostic testing facilities across Alabama, Florida, Georgia, and Texas.System Administrator and SME for Echo OneApp. Configured.
Oct 2006 - Aug 2020
Internal Auditor And Corporate Trainer
Collaborate with Audit Committee and KPMG on the creation of SOx-compliant policies and procedures. Project Manager for Federal Section 1011 and CMS Condition Codes. Coordinated with FEMA and the Department of Defense during hurricanes Cindy, Dennis, Katrina, and Rita to identify disaster victims for the Hardship Committee. Launched training for 5,000+.
Feb 2005 - Oct 2006
Collections Manager
Reduced bad debt by insourcing payer collections. Coordinated efforts with FEMA and EMS during the 9/11 attack by identifying disaster victims for the Disaster Relief Committee. Served 2,100+ communities in 40+ states, 3+ million patients annually, and 8,000+ practitioners.
Jun 1998 - Jun 2003
4 education records
Melissa C. education
Bachelor Of Science - Bs, Interdisciplinary Social Sciences
Kansas State University
Liberal Arts
Reinhardt University
Associate Of Science - As, Human Nutrition, Pre-Dietetics
Barton College
Associate'S Degree, Healthcare Administration
Medix College
FAQ
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Quick answers generated from the profile data available on this page.
What company does Melissa C. work for?
Melissa C. works for CardioOne.
What is Melissa C.'s role at CardioOne?
Melissa C. is listed as Director of Payer Credentialing and Enrollment at CardioOne.
Where is Melissa C. based?
Melissa C. is based in Marietta, Georgia, United States while working with CardioOne.
What companies has Melissa C. worked for?
Melissa C. has worked for Cardioone, Third Bridge Group Limited, Delegated Credentialing Pro'S, Gerson Lehrman Group, Ltd., and Privia Health.
How can I contact Melissa C.?
You can use AeroLeads to view verified contact signals for Melissa C. at CardioOne, including work email, phone, and LinkedIn data when available.
What schools did Melissa C. attend?
Melissa C. holds Bachelor Of Science - Bs, Interdisciplinary Social Sciences from Kansas State University.
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