Stalini Roberto

Credentialing Specialist with 7 years of focused experience in Provider and Payer Credentialing across Medical, Dental, and Behavioral Health. Skilled in Initial Credentialing and Re-Credentialing, documentation review, CAQH processes, and provider data validation. Proven ability to maintain process compliance, ensure documentation accuracy, and manage multiple credentialing workflows while meeting turnaround-time and quality requirements.

Proficient in MS Excel, with strong attention to detail, adaptability, and effective team collaboration.

Credentialing Specialist at Cognizant (2022-09 – Present)

• Manage Provider Credentialing and Payer Credentialing activities across Medical, Dental, and Behavioral Health lines of business.
• Perform Initial Credentialing and Re-Credentialing activities for healthcare providers.
• Review and validate provider information and credentialing documentation for completeness and accuracy.
• Handle CAQH-related provider information as part of credentialing activities.
• Identify missing or incomplete information and follow up on outstanding requirements to support timely completion.
• Maintain accurate provider records and follow established quality, process, and turnaround-time requirements.
• Support multiple credentialing workflows while maintaining strong attention to detail and consistency.

Senior Customer Representative at HCL Technologies (2019-07 – 2022-09)

• Worked on Provider Credentialing activities and customer-focused operational processes.
• Performed document verification and supported process requirements with accuracy and compliance.
• Collaborated with team members to complete assigned activities within defined timelines.

BPO Process Associate at Accenture (2017-04 – 2018-04)

• Worked on Medicaid claims adjudication activities.
• Reviewed claims-related information and followed process guidelines to support accurate claim processing.

B.Com in Computer Application – Anna Adarsh College for Women, Chennai (2015)