Navya Piske
US Healthcare Process Associate
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About
Results-oriented US Healthcare Process Associate with experience in claims processing, insurance verification, medical billing, and customer support. Skilled in maintaining HIPAA compliance, improving process accuracy, resolving customer inquiries, and consistently achieving quality and productivity goals.
Experience
Credentialing Analyst at Medallion (2025-08 – Present)
Managed provider credentialing by verifying licenses, certifications, education, work history, and ensuring compliance with healthcare regulations.
- Processed provider credentialing and recredentialing.
- Verified licenses, education, certifications, and work history.
- Performed Primary Source Verification (PSV).
- Maintained accurate provider records.
- Coordinated with providers and healthcare organizations.
- Ensured compliance with regulatory and accreditation standards.
- Tracked application status and followed up for timely completion.
Credentialing Analyst at Credentialing (2020-01 – 2024-12)
Education
B.Tech in ECE – Avanthi Institute of Engineering and Technology (2020-01 – 2024-12)
Intermediate in MPC – Little Flower Junior College (2018-01 – 2020-12)
