Danielle Lopez

Healthcare Credentialing Consultant | Helping Practices Reduce Denials & Accelerate Payer Enrollment | 20+ Years Experience

Role
Director of Credentialing and Enrollment at PM Pediatric Care
Location
Greenville, SC, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Danielle Lopez

I help medical practices solve credentialing challenges through strategic consulting and hands-on execution.With 20+ years managing credentialing operations from small practices to networks with providers across 50 states — I’ve worked with payers, enrollment vendors, physician groups, behavioral health networks, and urgent care facilities. I bring both strategic insight and operational expertise.What I offer:• Process consulting — Audit existing workflows, identify bottlenecks, design sustainable credentialing systems• Hands-on execution — Provider enrollment, payer contracting, CAQH management, denial reduction, Medicare/Medicaid enrollment, delegated credentialing preparation and audit compliance. Results I\'ve delivered:• Saved millions in recovered revenue by reducing claim denials from 12% to ~1% in 10 months• Cut enrollment timelines from 160+ days to ~90 days• Coordinated onboarding for 200+ providers in 10 months• Medicaid enrollment expert in 50 states - proven at removing bottlenecks, accelerating ready-to-bill status, and building systems that deliver faster approvalsWhether you need someone to fix your broken process or execute the work for you, I can help. d•••••••@truenorthcredentialing.com

Experience

  1. Director of Credentialing and Enrollment

    PM Pediatric Care

    Apr 2025 — Present

Education

  • University of Leicester

    Master of Business Administration - MBA

  • University of Phoenix

    Bachelor of Business Administration - BBA, Business Management

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Danielle Lopez — Director of Credentialing and Enrollment at PM Pediatric Care in Greenville, SC, US | Unifers