Lily

Senior Provider Credentialing Specialist

May 2021 - Present • 5 yrs 2 mos

Managed end-to-end credentialing and recredentialing for physicians, nurse practitioners, therapists, and multi-specialty providers Completed payer enrollments with Medicare, Medicaid, and commercial insurers Maintained CAQH profiles and provider data accuracy Reduced credentialing delays by improving submission accuracy and follow-up workflows Coordinated with payers, providers, and internal billing teams to ensure faster reimbursements

Medical Billing & Compliance Consultant

Aug 2020 - Present • 5 yrs 11 mos

Conducted billing audits and coding compliance reviews for healthcare providers Reviewed CPT, ICD-10, and claims documentation for reimbursement accuracy Supported revenue cycle optimization and denial reduction initiatives Assisted practices with compliance documentation and payer requirements Helped reduce claim rejections and improve operational efficiency