Ronilo

Credentialing and Network Status Specialist

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Overview

Looking for work (0 hours/day)

at $0.00/hour ($0.00/month)

Bachelor's degree

Last Active

June 14th, 2026 (14 days ago)

Member Since

May 7th, 2026

Profile Description

Detail oriented Credentialing outreach tracking specialist with extensive experience in Primary Source Verification (PSV) and managing provider network status and data validation. Proficient in ensuring accuracy and compliance in TIN/NPI linkages to support seamless operations and minimize credentialing related claim rejections.

Top Skills

Mitigate organizational risk by serving as a primary gatekeeper for healthcare compliance, verifying the authenticity of professional licenses, education, and certifications directly through issuing institutions to ensure 100% credential validity. Managed CAQH profile maintenance and quarterly attestations to ensure zero gaps in credentialing.

Other Skills

Experience: 1 - 2 years

Executed data and order entry tasks with a focus on accuracy and efficiency, achieving a data entry accuracy rate of over 98%.

Managed the verification of Payer-Provider data validation and linkages (TIN/NPI), ensuring 100% alignment of Payor IDs, Provider IDs, and effective dates to guarantee seamless claim processing.

Experience: 2 - 5 years

Collaborated with cross-functional teams to streamline credentialing workflows, enhancing compliance adherence and reducing errors.

Basic Information

Age
31
Gender
Male
Website
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Address
Cabuyao, Laguna
Tests Taken
None
Government ID
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