Reynaldo

Credentialing Specialist

45 ID PROOF
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Overview

Looking for full-time work (8 hours/day)

at $4.73/hour ($909.09/month)

Associates degree

Last Active

June 13th, 2026 (14 days ago)

Member Since

January 22nd, 2026

Profile Description

Virtual Healthcare Assistant and Credentialing Specialist experienced in U.S. insurance enrollment, follow-ups, and recredentialing for all major healthcare payers. Highly familiar with CAQH and Availity re-attestation processes. Skilled in insurance verification, including eligibility and benefits checks and updating patient coordination of benefits (COB). Also provides reliable administrative support such as scheduling, data entry, and document management. Detail-oriented, HIPAA-compliant, and efficient in supporting healthcare operations.

Top Skills

Experience: 6 months - 1 year

Credentialing Specialist responsible for enrolling healthcare providers with affiliated U.S. insurance plans through payer portals, email submissions, and roster submissions. Maintains and updates provider records in CAQH and Availity, ensuring accurate licensure, DEA, CDS, board certifications, professional liability insurance, personal information, and credentialing contacts.

Experience: 1 - 2 years

Responsible for verifying patients' healthcare insurance and ensuring coordination of benefits is accurate and up to date, including the review of backdated insurance lapses to ensure claims are reprocessed and paid accordingly. Evaluates restrictions, eligibility, and benefits across U.S. healthcare insurance plans to determine whether coverage should be added to the patient's date of service.

Other Skills

Experience: 2 - 5 years

Assists healthcare providers with inquiries related to patients' healthcare insurance, including eligibility and benefits verification and prior authorization requirements, when applicable, by providing timely and efficient support via phone communication.

Basic Information

Age
30
Gender
Male
Website
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Address
Tests Taken
IQ
Score:  118
DISC
Dominance: 51%
Influence: 7%
Steadiness: 13%
Compliance: 29%
English
C2(Advanced/Mastery)
Government ID
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