Revathi Chandrasekaran
Tampa,FL
Summary
Credentialing and provider data professional with hands-on experience supporting enrollment, onboarding, and compliance for medical and behavioral health providers across Medicare, Medicaid, and commercial payers. Recognized for strong communication, cross-functional collaboration, and the ability to manage credentialing tasks independently in remote settings. Skilled in CAQH, NPPEs, PECOS, payer portals, and roster management to support network growth and operational efficiency.
Overview
2
2
years of professional experience
Work History
Credentialing & Enrollment Specialist
PCMA Network
Pittsburgh, PA
08.2025 - 05.2026
- Maintained compliance and workflow efficiency while working remotely with minimal supervision, ensuring accurate and timely enrollment processing.
- Facilitated provider onboarding and compliance processes, ensuring accurate credentialing and contracting with insurance payers.
- Managed Medicare and Medicaid enrollment across PA, OH, and FL, ensuring adherence to regulatory standards.
- Administered payer portals to maintain seamless access and functionality for providers and internal teams.
- Rebuilt and streamlined the provider roster, improving visibility into credentialing status and enabling the team to track progress and reduce enrollment turnaround time
- Collaborated with cross-functional teams to support provider network expansion and organizational growth.
- Improved enrollment turnaround time by streamlining data collection and verification workflows.
- Reduced provider data discrepancies by enhancing roster accuracy and documentation standards.
Credentialing Specialist
ATS Health Care
Wesley Chapel, FL
01.2024 - 08.2025
- Ensured new providers meet licensing, board certification, and compliance requirements prior to onboarding.
- Oversaw credentialing and enrollment workflows, reducing processing time and minimizing errors.
- Managed onboarding across NPPES, CAQH, Medicare, and major commercial payers in order to ensure timely activation.
- Negotiated reimbursement rates with insurance providers, supporting financial stability and equitable compensation.
- Coordinated enrollment and credentialing for medical and behavioral health providers across FL, MI, and CA.
- Ensured compliance with payer and regulatory requirements through thorough documentation and verification.
- Enhanced credentialing accuracy by implementing improved verification and documentation practices.
Education
Bachelor of Technology - Information Technology
Anna University
India05-2005
Skills
- Onboarding & Primary Source Verification
- PECOS, NPPES & CAQH Profile Management
- Medicare & Medicaid Compliance
- Regulatory and Policy Compliance
- Payer portal administration
- Provider Data & Roster Management
- Workflow Optimization
- Reimbursement Negotiation
- Recredentialing
- Clear, Concise Communication
Timeline
Credentialing & Enrollment Specialist
PCMA Network
08.2025 - 05.2026
Credentialing Specialist
ATS Health Care
01.2024 - 08.2025
Bachelor of Technology - Information Technology
Anna University