Back to Developers
PRIYADHARSHINI A

PRIYADHARSHINI A

Provider Enrollment & Credentialing Analyst

Kovilpatti, Tamil Nadu, India
85
Profile Score

About

Detail-oriented professional with 3 years of experience in US Healthcare Provider Enrollment and Credentialing operations, now transitioning into Data Analytics. Strong analytical mindset with hands-on knowledge of MS Excel, SQL, and Python fundamentals. Experienced in handling large datasets, ensuring data accuracy, maintaining compliance, and generating reports to support business decisions. Passionate about transforming raw data into meaningful insights and eager to contribute as a Data Analyst in a growth-oriented organization.

Skills & Expertise (18)

Provider Enrollment Advanced
8.0/10
3
Years Exp
MS Excel Advanced
7.5/10
3
Years Exp
Healthcare Systems Intermediate
7.3/10
3
Years Exp
CAQH Intermediate
7.0/10
3
Years Exp
SQL Intermediate
6.8/10
1
Years Exp
Data Cleaning Business Performance Analysis Reporting Data Validation Pandas Python Joins Basic Queries Pivot Tables XLOOKUP VLOOKUP NPPES PECOS

Work Experience

Provider Enrollment & Credentialing Analyst

SRZ Consulting Services

Nov 2025 - Present

Analyzed business dataset to identify revenue and profit trends. Used SQL queries to extract key financial metrics. Cleaned and validated data using Excel functions and Pivot Tables. Created a KPI dashboard to monitor business performance.

Provider Enrollment – Transaction Processing Representative

Accenture

Feb 2023 - Sep 2025

Managed end-to-end provider enrollment for Medicare, Medicaid, and commercial insurance plans. Verified and maintained provider credentials (NPI, State License, DEA, CDS, Board Certification) using CAQH, PECOS, and payer portals. Ensured compliance with CMS and payer guidelines during enrollments, revalidations, and demographic updates. Maintained data accuracy and completed tasks within SLA timelines. Coordinated with internal teams and insurance representatives to resolve enrollment issues efficiently. Processed provider enrollment applications for commercial insurance plans. Performed primary source verification of licenses and certifications. Handled high-volume transactions while maintaining quality and accuracy standards. Ensured timely completion of tasks within defined SLA targets.

Education

Bachelor of Science in Computer Science (B.Sc CS) - Madurai Kamaraj University

2017 - 2020 · Afghanistan

Certifications

Java Full Stack Professional

EduBridge · 2022

Microsoft Technology Associate (MTA): Introduction to Programming Using Python

Microsoft · 2018

Interested in this developer?

Profile Score Breakdown

📷 Photo 10/10
📄 Resume 10/10
💼 Job Title 10/10
✍️ Bio 10/10
🛠️ Skills 20/20
🎓 Education 10/10
⏱️ Experience 5/15
💰 Rate 0/5
🏆 Certs 5/5
Verified 5/5
Total Score 85/100

Profile Overview

Member sinceMar 2026

Availability Details

Visa Status

Citizen

Relocation

Open to Relocation

Skills (18)

Provider Enrollment MS Excel Healthcare Systems CAQH SQL Data Cleaning Business Performance Analysis Reporting Data Validation Pandas +8 more