Gayathri Gopi

Results-driven Senior Process Associate — Provider Credentialing Services with 2+ years of experience managing high-volume credentialing workflows at Cognizant Technology Solutions for Cigna Healthcare.

Certified Provider Credentialing

Specialist (CPCS) with proven expertise in Medical Initial Credentialing, Medical Recredentialing, and Dental Recredentialing. Proficient in CAQH, Salesforce, CATS, and ETQS with a track record of processing 600–750+ provider files monthly at 98–99% accuracy, achieving 130% of production targets during high-volume periods. Known for strong attention to detail, process knowledge, and supporting new joiner onboarding.

Senior Process Associate — Provider Credentialing Services - Cognizant Technology Solutions - MEPZ, Chennai | Cigna Healthcare Project

(2023-10)

• Process 600–700 provider credentialing and re-credentialing files per month, achieving 130% of production target (750+ files) during high-volume periods to support team delivery.
• Conduct primary source verification including CAQH ProView, NPI Registry, DEA, Board Certifications, State Medical Licensure, NPDB, and OIG/SAM exclusion checks.
• Coordinate credentialing and privileging process for physicians, advanced practice providers, and allied health professionals.
• Collect and verify provider credentials including licences, certifications, education, training, and professional references.
• Maintain 98–99% accuracy in provider documentation verification across all file types.
• Manage high-volume inventory of up to 30 files/day using Salesforce, CATS, and ETQS platforms.
• Identify discrepancies and collaborate with internal teams including compliance, legal, and quality assurance for timely resolution.
• Ensure all credentialing files meet Cigna Healthcare compliance and regulatory requirements before completion.
• Supported new joiners by resolving process-related queries, contributing to faster onboarding and team productivity.
• Consistently meet productivity and turnaround time targets in a fast-paced BPO environment.

Bachelor of Arts - B.A - Ethiraj college of women (2020 - 2023)

Higher Secondary Certificate - HSC - Moongibai Goenka Higher Secondary School (2020)