Danielle Lopez
Director of Credentialing and Enrollment @PM Pediatric Care
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WORK HISTORY
Director of Credentialing and Enrollment @PM Pediatric Care
EDUCATION
University of Leicester
Master of Business Administration - MBA
University of Phoenix
Bachelor of Business Administration - BBA, Business Management
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
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