Nancy Nava

Compassionate, energetic and dedicated Credentialing Specialist with over several years of progressive experience as a liaison between the community and state agencies. Demonstrated ability to provide accurate and timely support for physicians in various medical facilities while ensuring patient confidentiality and confidentiality for the patients needs. I am able to quickly adapt and prioritize my workload under fast paced environments. I also have extensive background in teaching management for several years. I'm very passionate about being a resource for the community.

I am an innovated thinker with over 20 years of Healthcare experience. I have broad-based expertise in office administrative services, physician billing, physician and facility credentialing as well as Health Plan auditing. I am a certified green belt in Six Sigma process improvement.

I have strong problem-solving skills and can prioritize and handle multiple tasks. I have trained physician offices on billing practices as well as contracted downstream providers on NCQA, CMS & State Guidelines in multiple states. I have also implemented credentialing processes during our company’s expansion with new programs ensuring timely credentialing of over 1000+ practitioners.

I lead with empathy, strong foundations, and open communication. I thrive in fluid business environments with an ability to be change agile and guide my teammates to measurable success.

Sr. Network Compliance Auditor

SCAN Health Plan · Jan 2014 - Present · Long Beach, California, United States

Southern California Regional Occupational Center

Medical Assistant 2002