Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Felicia Perkins

Nashville,TN

Summary

Experienced credentialing and compliance professional with 14+ years in healthcare and dental organizations. Skilled in dental provider payor enrollment, team leadership, and regulatory compliance across multi-state networks. Proven track record in process improvement, SOP creation, and KPI reporting. Recognized for aligning credentialing with organizational goals while leading and developing staff. Seeking to contribute as a Dental Credentialing Supervisor at Specialty1 Partners and grow into a Credentialing Manager role.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Provider Credentialing Special Projects- Contract

Delta Dental of California
Remote
12.2024 - 09.2025
  • Actively participated in the development and implementation of credentialing policies and procedures, ensuring alignment with industry best practices and regulatory requirements.
  • Enhanced compliance with NCQA, URAC, and Joint Commission standards through meticulous review of provider qualifications and documentation.
  • Supported the delivery of high-quality patient care by ensuring that only fully qualified providers were admitted into networks.
  • Ensured accurate and timely provider data entry, maintaining up-to-date records across multiple credentialing platforms (CAQH, NPPES, NPDB, Denticon, EagleSoft, Dentrix, Open Dental).
  • Partnered with medical staff services and cross-functional teams to streamline communication and create a smooth, efficient credentialing experience for providers.
  • Contributed to process improvements and SOP development that increased efficiency and reduced turnaround time for credentialing.

Credentialing Training Supervisor

Sun Life Financial
Remote
02.2021 - 11.2024
  • Manage the provider credentialing process for a network of over 300 physicians, allied health professionals, and dental professionals, ensuring compliance with organizational policies and regulatory requirements.
  • Conduct primary source verification of provider credentials,including education, licensure, board certification, and malpractice
    history.
  • Collaborate with the credentialing committee to review and make recommendations on provider applications for appointment and reappointment.
    Implement improvements to credentialing processes, resulting in a 20% reduction in processing time.
  • Train new staff members on credentialing procedures and the use of credentialing software.
    Streamlined the credentialing process by implementing efficient tracking systems and maintaining accurate records.

Clinical Account Contract Specialist

Smile Direct Club
Nashville, Tennessee
10.2017 - 02.2021
  • Directed the seamless transition of 100+ customers to a new platform, maintaining a 100% retention rate during the migration.
  • Established and maintained strong relationships with key decision-makers, resulting in enhanced account stability.
  • Developed customized reports for clients, providing valuable insights into their usage patterns and recommendations for optimization.
  • Played a pivotal role in cross-departmental teams to address and solve complex customer challenges.
  • Conducted research on legal requirements impacting contract agreements and operations.
  • Drafted and reviewed contracts to ensure compliance with company policies.

Credential and Compliance Manager

Delta Health Management Solutions
Nashville, Tennessee
01.2012 - 10.2017
  • Developed compliance policies aligning with healthcare regulations.
  • Initiated a feedback loop with the product team, contributing to a 10% decrease in recurring support tickets.
  • Collaborated with departments to implement corrective action plans.
  • Provided expert guidance to customers navigating complex product ecosystems, enhancing the user experience.
  • Conducts primary source verification for all credentialing and re-credentialing applications.
  • Monitors the progress and completion of all site visits by the provider network team to ensure completion within the established time-frame.
  • Accurately enters all critical data elements of provider applications into the credentialing system.
    Responds to email and phone inquiries received into the Credentialing phone queue from internal and external clients.
    Complete the task by deadlines.

Education

Bachelor of Science - Business Administration

University of Phoenix
Nashville, TN
01.2010

Associate of Applied Science - Dental Assistant

High Tech Institute
Nashville, TN
01.2007

Skills

  • Dental Credentialing & Provider Enrollment (Medicare, Medicaid, and Commercial Plans)
  • Credentialing Standards & Compliance: NCQA, URAC, CAQH, Joint Commission
  • CAQH, NPPES, NPDB Systems
  • Credentialing Metrics, KPI Reporting & Compliance Audits
  • Contract Analysis & Management
  • Process Improvement & SOP Development
  • Data Management & Documentation Expertise
  • Dental Software Proficiency: Open Dental, EagleSoft, Dentrix, Denticon
  • Credentialing Software Proficiency (multiple platforms)
  • CRM Systems & Service Tools: Salesforce, Citrix, Microsoft Suite
  • Team Leadership & Staff Training
  • Cross-Functional Collaboration & Effective Communication
  • Problem-Solving, Critical Thinking & Attention to Detail

Certification

  • Registered Dental Assistant

Timeline

Provider Credentialing Special Projects- Contract

Delta Dental of California
12.2024 - 09.2025

Credentialing Training Supervisor

Sun Life Financial
02.2021 - 11.2024

Clinical Account Contract Specialist

Smile Direct Club
10.2017 - 02.2021

Credential and Compliance Manager

Delta Health Management Solutions
01.2012 - 10.2017

Bachelor of Science - Business Administration

University of Phoenix

Associate of Applied Science - Dental Assistant

High Tech Institute

Similar Profiles

CREATE PROFILE