ANGOLEE M. WILLIAMS
Garland,TX
Summary
Driven and detail-oriented professional with extensive experience in healthcare operations, credentialing, and quality control. Recognized for high accuracy, enterprise knowledge, and consistently exceeding performance metrics while collaborating with teams to achieve operational goals. Experienced in auditing, credentialing, membership processing, and high-volume operations across multiple states. Ready to leverage expertise and drive to transition into a supervisory role, overseeing credentialing operations, process compliance, and team performance.
Overview
11
11
years of professional experience
Work History
Quality Control Specialist
Health Care Service Corporation (BlueCross Blue Shield)
03.2022 - Current
- Ensure accuracy and integrity of auditing and data entry within credentialing operations, supporting enterprise-wide compliance.
- Conduct detailed quality audits and document performance metrics to identify areas for process improvement.
- Consistently exceed organizational performance metrics while maintaining high levels of accuracy.
- Collaborate with team members to achieve departmental goals, promoting collective success and operational excellence.
- Apply enterprise knowledge to streamline workflows, resolve discrepancies, and enhance operational efficiency.
- Support continuous improvement initiatives through guidance and insights into quality control processes.
Credentialing Representative
Health Care Service Corporation (BlueCross Blue Shield)
07.2019 - 03.2022
- Reviewed and completed primary source verification data accurately and timely for credentialing and recredentialing of professional and institutional providers across multiple states.
- Conducted research to ensure all application files were complete and compliant.
- Processed provider applications in accordance with company, state, and product requirements for all states and provider types.
- Responded to provider office representatives and internal staff regarding application status and supporting documentation.
- Maintained compliance with all company, state, and accrediting agency requirements.
- Supported high-volume operations, ensuring accurate, timely completion of credentialing workflows.
Membership Processor / SME
Health Care Service Corporation (BlueCross Blue Shield)
07.2014 - 07.2019
- Served as Subject Matter Expert (SME) for membership processing, providing specialized knowledge on policies, system processes, and claims resolution.
- Processed policy changes, cancellations, reinstatements, and premium adjustments.
- Contacted customers and agents to resolve application discrepancies.
- Validated and analyzed claims using BlueChip and Claims GUI systems.
- Collaborated with team members to ensure accurate, timely processing and collective achievement of departmental goals.
Education
Business Management - Business Management
International Academy of Design and Technology
Schaumburg, IL01.2011
Skills
- Leadership & Team Collaboration
- Process Improvement & Quality Assurance
- Credentialing & Compliance
- High-Volume Operations Management
- Auditing & Data Accuracy
- Microsoft Word, Excel, PowerPoint, Access, Outlook
- Adobe, Vistar, CAQH
- Payer, Salesforce
Accomplishments
- Consistently met or exceeded organizational goals across membership processing, credentialing, auditing, and quality control.
- Demonstrated high accuracy and attention to detail while managing high-volume operations, enhancing efficiency and compliance.
- Developed deep enterprise knowledge, enabling effective oversight of credentialing workflows and auditing processes.
Timeline
Quality Control Specialist
Health Care Service Corporation (BlueCross Blue Shield)
03.2022 - Current
Credentialing Representative
Health Care Service Corporation (BlueCross Blue Shield)
07.2019 - 03.2022
Membership Processor / SME
Health Care Service Corporation (BlueCross Blue Shield)
07.2014 - 07.2019
Business Management - Business Management
International Academy of Design and Technology