Rachel A.
Mid-Level Healthcare Credentialing Specialist
Open to offersNew to PlatformAbout
Rachel A. is an experienced Credentialing Specialist with a background in healthcare credentialing, customer service, and administrative support across provider enrollment and credential verification roles. At MedMetrix, she currently manages provider enrollment coordination, application review and submission, data verification, and compliance, ensuring that records are accurately maintained and regulatory standards are met. During her tenure at MedRisk LLC, she reviewed re-credentialing applications, communicated with providers to gather documentation, and worked with state licensing agencies to confirm credentials for the healthcare industry. Previously at Microsourcing, Rachel A. managed credentialing workflows for hospitals and medical centers, supported payer enrollment, and maintained provider data. Her proven track record demonstrates credentialing & verification, data compliance, and administrative skills in fast-paced healthcare environments.
Experience
Provider Enrollment Associate
MedMetrix · 2024 — PresentCoordinates provider enrollment processes, reviews and submits applications, verifies data for compliance, and maintains up-to-date system records.Credentialing Special Level
MedRisk LLC · 2022 — 2024Reviews and screens re-credentialing applications to confirm regulatory compliance and completeness, communicates with providers through phone, email, and fax to collect credentialing documents, verifies credentials with state licensing agencies, and processes provider updates related to services, locations, therapist assignments, and demographic details.Credentialing Verification Coordinator
Microsourcing · 2019 — 2021Manages credentialing workflows by verifying provider credentials, licenses, and certifications for hospitals and medical centers, ensures adherence to regulatory standards, maintains provider data, supports payer enrollment and network expansion, and partners with internal teams to streamline onboarding.Accounts Receivable Specialist
Omega Healthcare · 2018 — 2019Processes outbound calls to verify customer payments and accurately enters cash and check transactions into the system.Auth Intake Coordinator (Fax & Phone)
The Results · 2017 — 2018Handles authorization requests and clinical documentation, coordinates with providers, and generates authorizations as required.Customer Service Advocate
HKT Teleservice Inc · 2017 — 2017Manages flight reservations and customer inquiries and provides information on flight delays and travel policy updates.
Skills & Expertise
Education
- Bachelor of Arts in PsychologyUniversity of Rizal System – Angono · 2000 — 2004
Interested in this professional?
Sign in as an employer to save this profile or invite Rachel A. to a job.
Sign in as an employer