Erica Garcia
San Antonio,TX
Summary
Diligent Credentialing Specialist with solid background in credentialing processes and compliance management. Successfully managed credentialing for diverse healthcare providers, ensuring adherence to regulatory standards. Demonstrated expertise in meticulous documentation and effective communication with credentialing entities.
Overview
17
17
years of professional experience
Work History
Associate Data Engineer
Wellmed Medical Management/Optum
San Antonio, TX
11.2009 - 06.2026
- Collaborated with cross-functional teams to enhance data quality and reporting accuracy.
- Managed approximately 250 onboarding and off-boarding provider account requests.
- Led initiatives to improve data processing workflows, reducing turnaround time significantly.
- Managed provider data integrity and accuracy across multiple systems.
- Analyzed provider information to ensure compliance with regulatory standards.
- Developed and implemented processes for efficient data entry and maintenance.
- Trained staff on best practices for data management and utilization of tools.
- Collaborated with cross-functional teams to resolve provider-related issues.
- Collaborated with cross-functional teams to ensure consistency in provider information across multiple platforms.
- Managed provider enrollment processes to ensure compliance with regulatory requirements.
- Developed and maintained relationships with healthcare providers to facilitate efficient onboarding.
- Coordinated verification of provider credentials, improving accuracy and reducing processing times.
- Led training sessions for new team members on enrollment procedures and best practices.
- Implemented process improvements that reduced errors in documentation and increased submission success rates.
- Facilitated seamless transitions between different stages of the enrollment process by maintaining open lines of communication among various departments involved in provider services operations.
- Assisted providers with navigating online portal systems, enhancing user experience and expediting application submissions.
Reporting Analyst
WellMed Medical Management - United Health Group
San Antonio
06.2016 - 03.2026
- Analyzed complex datasets to identify trends and inform business decisions.
- Prepared monthly ad hoc reporting in alignment with client needs.
- Automated repetitive tasks, freeing up time for more strategic initiatives and reducing manual errors in reporting.
- Trained team members on the use of reporting tools, increasing overall productivity within the department.
- Analyzed reporting functions and efficiency to reduce error rates and increase efficiency by 20%.
Education
Bachelor of Arts - Sociology
Texas Tech University
Lubbock, TX06-2028
Skills
- Provider Lifecycle Management
- Data management
- Application coordination
- Provider relations
- Application management
- Employee onboarding
- License verifications
- Credential verification
- Microsoft office
- Documentation and recordkeeping
- Clerical oversight
- Transfer coordination
Timeline
Reporting Analyst
WellMed Medical Management - United Health Group
06.2016 - 03.2026
Associate Data Engineer
Wellmed Medical Management/Optum
11.2009 - 06.2026
Bachelor of Arts - Sociology
Texas Tech University