CAITLIN WALKER
Credentialing
Pueblo West,CO
Summary
Credentialing and dental revenue cycle leader with 20+ years of dental and orthodontic experience, including leadership of provider enrollment and payer credentialing operations. Experienced in CAQH maintenance, insurance enrollment, application follow-up, payer contracting, fee schedule review, provider data management, compliance, and cross-functional communication. Proven ability to manage high-volume provider portfolios, improve tracking and status reporting, and support timely network participation.
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
1
1
Certification
21
21
years of professional experience
Work History
Director of Credentialing
Signature Dental Partners
, Arizona
01.2021 - 09.2026
- Lead credentialing and payer enrollment operations for a high-volume dental provider portfolio, supervising a credentialing team and coordinating provider onboarding across insurance networks.
- Manage provider CAQH profiles, demographic and credentialing data, application submissions, reattestation needs, and supporting documentation.
- Prepare and submit new and existing provider enrollment applications; track application status and follow up with payers through approval and effective-date confirmation.
- Maintained credentialing tracking in MedTrainer and Excel, ensuring accuracy of provider documents, payer approvals, outstanding items, and enrollment progress.
- Communicate credentialing status, approvals, effective dates, and provider movement to practices, providers, leadership, and Revenue Cycle Management.
- Negotiated provider reimbursement rates, enhancing payer contracting and network participation efforts.
- Improved credentialing workflows, status reporting, and communication, fostering collaboration between practices and credentialing team.
- Signature Dental Partners | Pueblo, CO / HQ Arizona
Orthodontic Revenue Cycle Supervisor
Hero Practice Services
, CO
06.2013 - 01.2021
- Supervised orthodontic billing, accounts receivable, collections, insurance reimbursement, and revenue cycle functions, enhancing cash flow and ensuring account accuracy.
- Oversaw patient and payer financial services, including refunds and credit resolution, while facilitating reporting and communication with Orthodontic Operations and senior leadership to streamline processes.
- Supported hiring and training initiatives, managed payroll and time tracking, and ensured confidentiality of patient information to uphold operational standards.
- Colorado Springs, CO
Front Office Receptionist/Part-Time Office Manager
Academy Kids Dental and Orthodontics
, CO
11.2005 - 06.2013
- Supported front-office and clinical operations by managing insurance eligibility, pre-authorizations, claim submissions, follow-ups, denial management, patient account audits, and payment arrangements.
- Supported front-office and clinical operations including insurance eligibility, pre-authorizations, claim submission, insurance follow-up, denial management, patient account auditing, and payment arrangements.
- Trained front-office staff on insurance workflows, coding-related checkout processes, and operational procedures, enhancing service consistency across multiple clinic locations.
- Verified rendering-provider information for accurate claim submission and reimbursement; processed adjustments, write-offs, overpayments, and refunds.
- Colorado Springs, CO
Education
High School Diploma -
Fountain Fort Carson High School
Fountain01-2004
Dental Assistant - Dental
Pima Medical Institute
Colorado Springs, CO11-2005
Skills
- Provider Credentialing
- Payer Enrollment
- Provider Enrollment
- CAQH / Reattestation
- Primary Source Documentation
- Credentialing Applications
- Recredentialing Support
- Provider Data Management
- Payer Follow-Up
- Network Participation
- Contract & Fee Schedule Review
- Reimbursement Negotiation
- Compliance
- HIPAA
- Provider Rosters
- Credentialing Tracking
- Status Reporting
- Insurance Verification
- Revenue Cycle Management
- Team Leadership
- MedTrainer
- Microsoft Excel
- Systems: MedTrainer, CAQH, Dentrix Ascend, Dolphin, Microsoft Office (Excel, Word, PowerPoint, Outlook, Teams)
- Provider enrollment
- Application processing
- Documentation review
- Accreditation compliance
Certification
Certificate of Dental Assisting - State of Colorado | HIPAA Certification (2025)
Timeline
Director of Credentialing
Signature Dental Partners
01.2021 - 09.2026
Orthodontic Revenue Cycle Supervisor
Hero Practice Services
06.2013 - 01.2021
Front Office Receptionist/Part-Time Office Manager
Academy Kids Dental and Orthodontics
11.2005 - 06.2013
High School Diploma -
Fountain Fort Carson High School
Dental Assistant - Dental
Pima Medical Institute