A proficient and detail-oriented Practice Setup & Credentialing Specialist with 3+ years of experience in the healthcare sector. My capabilities encompass meticulous management of practice setup and credentialing procedures, ensuring seamless establishment and compliance for healthcare providers.Key skills:✅ Practice Setup Expertise: Proficient in establishing and organizing medical practices, ensuring compliance.✅ Credentialing Management: Demonstrated ability in managing provider credentialing processes, including applications, verifications, and maintaining up-to-date credentials with insurance panels.✅ Insurance Verification Proficiency: Thoroughly verify provider insurance credentials and contracts to ensure accurate billing and reimbursement, minimizing claim discrepancies.✅ Revenue Cycle Optimization: Proven track record in optimizing revenue cycle processes, including fee schedule analysis, contract negotiations, and implementing strategies to improve cash flow and reduce denials.✅ Financial Reconciliation: Efficiently reconcile provider payments, track accounts receivable, and identify discrepancies to maintain accurate financial records and support financial decision-making.Credentialing Web Portals and Software 𝑰 𝒘𝒐𝒓𝒌𝒆𝒅 𝒐𝒏 𝒂𝒓𝒆 :▶️ PECOS, NPPES, I&A, Noridian, EDISS Connect▶️ NV MEDICAID EVS, TMHP, GAMMIS (GA)▶️ CAQH, Availity, Cognito Forms▶️ One Healthcare (Health Plan of NV)▶️Payspan▶️Change HealthcareLicensing Portals:▶️ACHA▶️Business Express (MD state)▶️Dept of Revenue (DOR) (WA state)▶️Corporations and Charities Filing System (CCFS)Previous Experience:In my prior roles, I specialized in Practice Setup & Credentialing across diverse medical practices including HHA, Urgent Care, DME's, LABs, Staffing Agencies, Group Practice, Individual Providers, Chiropractors, Mid Level Providers such as NP,PA, LCSW, LMFT, LPC, Reg Dietitians. Through meticulous attention to detail and adherence to regulatory standards, I facilitated seamless operations and consistently achieved exceptional clean claim rates. My expertise has consistently bolstered revenue streams for healthcare providers.If you're searching for a proactive and results-driven Practice Setup & Credentialing Specialist to optimize your healthcare practice's operations and revenue, look no further. Let's connect to explore how I can elevate the success of your practice.