Credentialing Specialist at Health Recon Connect (2026-02 – 2026-07)
- Manage provider credentialing and re-credentialing.
- Handle payer enrollment and applications.
- Maintain and update CAQH profiles.
- Follow up on credentialing applications.
- Manage provider and group linking.
- Maintain credentialing records and documents
Credentialing Specialist at Bikham Healthcare (2019-10 – 2026-01)
- Create and maintain licensing, credentials and insurance records.
- Help develop internal credentialing processes.
- Conduct research on updated state and federal regulations and policies.
- Monitor license and credential expiration dates and advise staff members of required "renew by" dates.
AR Specialist at Bikham Healthcare (2018-10 – 2019-01)
- Analyze and interpret EOBs (Explanation of Benefits) and other payment documents.
- Research and appeal denied claims. (Denial Management).
- Verifying correct insurance filing information on behalf of the client and patient.
- Prepare regular reports on AR status and progress.
- Provide training and support to junior AR callers.
AR Specialist at Knack Global (2019-10 – 2026-01)
- Follow up on unpaid and denied claims.
- Work on insurance AR and claim status.
- Analyze and resolve claim denials.
- Handle claim reprocessing and appeals.
- Verify payments and underpayments.
- Maintain AR reports and follow-up record
