Summary
Overview
Work History
Education
Skills
Training And Practice
Certification
Personal Information
Timeline
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Juhi Upadhaya

Juhi Upadhaya

Winston-Salem,NC

Summary

Dynamic Client Relations and Credentialing Specialist with proven expertise in managing provider enrollment, client relations and ensuring HIPAA compliance. Adept at fostering effective communication and enhancing client management processes, I excel in credentialing oversight and training development, driving operational excellence and improving team productivity.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Client Relations and Credentialing Specialist

ClinicMind
Belleair Bluffs, FL
10.2024 - Current
  • Liaised with insurance companies to complete provider enrollment and ensure billing capabilities.
  • Assisted in the accreditation process by gathering and submitting required documentation.
  • Ensured strict confidentiality of provider information in accordance with HIPAA regulations.
  • Processed documents and status-change requests, conducting follow-up assessment regarding enrollment inquiries.
  • Prepared and submitted detailed reports on credentialing progress to management.
  • Collaborated with internal teams regarding provider contracts and agreements.
  • Facilitated communication between departments to resolve credentialing issues efficiently.
  • Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
  • Managed end-to-end provider credentialing process, ensuring compliance with industry standards.
  • Provided guidance and support to new providers throughout the credentialing process.
  • Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
  • Managed client communication and oversaw project progress to provide timely status updates and avoid delays.
  • Ensured that all client communication is handled professionally according to established procedures.
  • Managed client communication through regular meetings and phone calls.
  • Documenting and updating client data using Salesforce.

Team Lead

United Health Systems
California, USA
03.2022 - 09.2024
  • Recruited various healthcare professionals across the United States of America.
  • Managed a VMS independently.
  • Identified areas of improvement in processes related to client management.
  • Participated in weekly team meetings with supervisors and other caseworkers to discuss ongoing cases and review best practices for client management.
  • Utilized client management database to record client progress and document relevant information.
  • Collaborated with cross-functional teams to coordinate activities related to client management initiatives.
  • Working in co-ordination with the Account Manager on various responsibilities.
  • Ensured compliance with industry standards and regulations.
  • Oversaw training and development programs to enhance team skills and knowledge.
  • Negotiated with vendors and suppliers to secure favorable terms and improve bottom-line results.
  • Maintained positive working relationship with fellow staff and management.
  • Developed strategies to increase team productivity and improve customer service levels.
  • Collaborated with other departments to streamline processes and improve interdepartmental cooperation.
  • Maintained up-to-date knowledge of industry trends related to client management practices.

Project Head

Saakhi Healthcare
Vadodara
12.2018 - 02.2022
  • Meeting potential clients and presenting the company,s ideas and proposal.
  • Analysis the different aspects of business growth and development.
  • Conducting school, corporate and rural health checkup programs.
  • Developing various programs related to women and child development.
  • Conducting trainings for hospital staff in order to develop their non- clinical skills.
  • Managing and working with the team on various programs.
  • Recruiting interns for various programs of the organization.

Administrative Consultant

Chandan Hospital and ICU
Vadodara
01.2021 - 12.2021
  • Supervising the day to day operational work.
  • Handling the patient care department.
  • Managing of staff and their duties.
  • Managing the Bariatric department along with the surgeon and his team.
  • Management of the hospital system including the stock management, data management, employee management.
  • Regular checking of Ipd admissions and discharges.
  • Regular checking of Opd consultations and collections.
  • Training hospital staff in different aspects of hospital and helping them develop their non-clinical skills.

Administrative Consultant

Devarsh Hospital
Vadodara
01.2020 - 12.2020
  • Supervising the day to day operational work.
  • Handling the patient care department.
  • Managing of staff and their duties.
  • Managing the Bariatric department along with the surgeon and his team.
  • Management of the hospital system including the stock management, data management, employee management.
  • Regular checking of Ipd admissions and discharges.
  • Regular checking of Opd consultations and collections.

Operations and Business Development Executive

Isha Hospital
Vadodara, Gujarat
12.2016 - 11.2018
  • Work together with nurse managers and doctors to manage the daily operations of the assigned service area to ensure its smooth running daily.
  • Review key processes to improve overall key performance indicators/ outcomes in the areas of total customer experience, operational efficiency and optimal resources utilization.
  • Track, monitor and make recommendations for the utilization of departmental budget to achieve optimization of allocated resources.
  • Track, monitor and make recommendations to achieve excellent customer satisfaction ratings.
  • Manage a team of support staff (Executive Assistants/ Floor coordinator, and others as necessary) to deliver timely, appropriate and excellent services to our customers.
  • Manage customer complaints and follow up with service recovery if necessary.
  • Organizing camps and seminars for the promotional activity of the organization.
  • Meeting the GP's near Vadodara to increase the footfall of the patients for both health checkup and Ipd admissions.
  • Managing Corporate Tie-up's like Ceat, ONGC, Accord Synergy Group, MasterCard, United Way.

Echocardiographer

Metro Hospital
Vadodara, Gujarat
04.2016 - 11.2016
  • Responsible for the management of the entire non-invasive cardiac department.
  • Responsible for performing the echo screening of the patient.
  • Recorded and processed images for interpretation by physician.
  • Performed ultrasounds to diagnose heart conditions and vascular problems.
  • Maintained a safe working environment according to safety protocols and guidelines.
  • Ensured quality control of equipment used in the performance of tests.
  • Developed and labeled diagnostic images and films in accordance with established quality standards.
  • Provided technical support to radiologists during cardiac catheterization procedures.
  • Assisted in training technicians, medical students or other staff members.
  • Attended continuing education seminars related to echo technologies.
  • Communicated test or assessment results to medical professionals.

Education

Bachelor of Science - Medical Technology

Symbiosis International University (SIU)
India
03.2016

Diploma - Biomedical Instrumentation

Symbiosis International University (SIU)
India
03.2016

Skills

  • Client Management
  • Effective communication
  • Healthcare Administration
  • Team building
  • Training and Development
  • HIPAA compliance
  • Provider enrollment
  • Document management
  • Credentialing processes
  • Client communication
  • Project management
  • Salesforce management
  • Application coordination
  • Provider relations
  • Credentialing documentation
  • Credentialing oversight
  • Healthcare operations
  • Communication skills
  • Data management

Training And Practice

  • N M Wadia Cardiac Speciality Hospital, Pune (2015-2016)
  • Anandpur Charitable trust & Diagnostic Centre, Pune (2014-2015)
  • Metro Hospital and Research Institute, Vadodara (05/2015)
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai (01/2016)
  • Asian Heart Institute, Mumbai (04/2017)
  • Mission Smile, Kolkata, Volunteer (2018-2020)

Certification

  • Employability and Job Sustainability Skills 2013.
  • Time Management and Skill Development 2014.
  • National Conference of IARC 2014.
  • Compliance and Credentialing Specialist Program 2025.
  • Core Certified Professional Program 2025.

Personal Information

  • Date of Birth: 09/19/94
  • Marital Status: Married

Timeline

Client Relations and Credentialing Specialist

ClinicMind
10.2024 - Current

Team Lead

United Health Systems
03.2022 - 09.2024

Administrative Consultant

Chandan Hospital and ICU
01.2021 - 12.2021

Administrative Consultant

Devarsh Hospital
01.2020 - 12.2020

Project Head

Saakhi Healthcare
12.2018 - 02.2022

Operations and Business Development Executive

Isha Hospital
12.2016 - 11.2018

Echocardiographer

Metro Hospital
04.2016 - 11.2016

Bachelor of Science - Medical Technology

Symbiosis International University (SIU)

Diploma - Biomedical Instrumentation

Symbiosis International University (SIU)

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Juhi Upadhaya