Jenny Phan-Diptee
Provider Enrollment Specialist
Mount Juliet,TN
Summary
Detail-oriented Payer Enrollment Specialist with strong expertise in provider credentialing, payer enrollment processes, and compliance with federal and commercial insurance requirements. Known for managing high-volume workloads, reducing enrollment delays, and maintaining accurate provider data across multiple systems. Adept at collaborating with providers, payers, and internal teams to ensure timely reimbursement and seamless onboarding. Bring strong organizational skills, analytical thinking, and a commitment to accuracy.
Overview
7
7
years of professional experience
Work History
Lead Provider Enrollment Specialist
Vanderbilt University Medical Center
09.2019 - Current
- Payer Enrollment & Credentialing
- CAQH Management
- Medicare & Medicaid Enrollment out of states
- Commercial Payer Applications
- NPI & Taxonomy Management
- PECOS, Availity, and Payer Portals
- Provider Onboarding
- Compliance & Regulatory Standards
- Data Entry & Documentation
- Issue Resolution & Follow-Up
- Cross-Functional Communication
- Lead responsibility for electronic filing (E-File) and adding new practice locations across all payer systems.
- Train and mentor new hires on payer enrollment processes, system navigation, and departmental workflows.
- Participate in all meetings related to new location openings to ensure payer requirements and timelines are met.
- Manage the setup and activation of new locations within internal systems and payer portals to support timely provider onboarding and billing readiness.
Provider Enrollment Specialist
09.2019 - 03.2022
- Prepare, submit, and track provider enrollment applications for Medicare, Medicaid, and commercial insurance plans.
- Maintain accurate provider data in CAQH, NPPES, PECOS, and internal credentialing systems.
- Communicate with payers to resolve enrollment delays, discrepancies, and compliance issues.
- Coordinate with HR, credentialing, and revenue cycle teams to ensure smooth provider onboarding.
- Monitor revalidations, expirations, and updates to prevent lapses in participating.
- Generate reports on enrollment status and timelines for leadership review.
- Ensure all enrollment activities meet federal, state, and payer-specific regulations.
Education
Bachelor of Science - Information Technology
University of Phoenix
Skills
- PECOS
- CAQH ProView
- Availity
- NPPES
- KOG (Kentucky Medicaid Online Gateway)
- TN Care Portal
- Credentialing Management Software: Epic, Symplr/sProvider, Cactus, MDStaff
- Microsoft Office Suite
Timeline
Lead Provider Enrollment Specialist
Vanderbilt University Medical Center
09.2019 - Current
Provider Enrollment Specialist
09.2019 - 03.2022
Bachelor of Science - Information Technology
University of Phoenix