Ja'clyn Barrow
Rosenberg,TX
Summary
Detail-oriented healthcare operations professional with 6+ years of experience in provider enrollment, credentialing, and healthcare program eligibility. Skilled in payer portal navigation, contract onboarding, and documentation management. Known for cross-functional collaboration, strong communication, and regulatory compliance. Proficient in PECOS, NPPES, Microsoft Office Suite, and payer enrollment systems.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Senior Provider Enrollment Support
Gainwell Technologies
01.2023 - 04.2025
- Managed Medicaid and commercial payer enrollment and credentialing processes, ensuring 98% compliance with internal timelines.
- Liaised with providers to collect and verify credentialing data including NPI, licensure, and insurance documentation.
- Submitted and tracked enrollments using PECOS, NPPES, and state payer portals.
- Maintained internal credentialing systems and prepared documentation for audits.
Donor Relations Coordinator
ActBlue
(Seasonal)
07.2024 - 12.2024
- Resolved 95% of donor support inquiries within 24 hours, increasing donor retention by 20%.
- Managed refunds, recurring donations, and technical issues through Zendesk and Google Workspace.
- Worked closely with cross-functional teams to improve the donor platform and reduce service errors
Texas Works Advisor (Eligibility Specialist)
Texas Health and Human Services
05.2018 - 12.2022
- Conducted eligibility interviews for state assistance programs including Medicaid, SNAP, and TANF.
- Verified income, household, and resource documentation in alignment with policy.
- Provided policy guidance and support to applicants regarding appeals and benefit coverage.
- Ensured timely and compliant case processing under HIPAA regulations.
Customer Service Representative Team Lead
ADT Security
06.2017 - 05.2018
- Assisted patients and providers with benefit verification, claim status, and billing questions.
- Managed 70+ calls per day while maintaining high levels of accuracy and empathy.
- Logged detailed call records in CRM system and met KPIs for call resolution and satisfaction.
Education
Bachelor of Arts - Marketing
Texas Southern University
Houston, TXSkills
- Provider Enrollment & Credentialing
- Credentialing Documentation & Contract Management
- Verity CredentialStream
- CAQH
- Microsoft Excel
- CRM & Payer Portals
- Patient & Provider Communication
- HIPPA Regulatory compliance
- Medicaid Processes
- Medicare Processes
- Attention to detail
- Regulatory Compliance
- Time Management
- Multitasking
- Effective communication
- Attention to detail
- Problem solving
Certification
- Basic Life Support (BLS) - CPR & AED Certified
- HIPAA Compliance Certification - Completed
Timeline
Donor Relations Coordinator
ActBlue
07.2024 - 12.2024
Senior Provider Enrollment Support
Gainwell Technologies
01.2023 - 04.2025
Texas Works Advisor (Eligibility Specialist)
Texas Health and Human Services
05.2018 - 12.2022
Customer Service Representative Team Lead
ADT Security
06.2017 - 05.2018
Bachelor of Arts - Marketing
Texas Southern University
Similar Profiles
Delora CrawfordDelora Crawford
Medicaid Provider Enrollment Specialist at Gainwell TechnologiesMedicaid Provider Enrollment Specialist at Gainwell Technologies
Briana BurgherBriana Burgher
Provider Enrollment Specialist at Gainwell TechnologiesProvider Enrollment Specialist at Gainwell Technologies
Ranjith kumar SRanjith kumar S
Business Analyst at Gainwell TechnologiesBusiness Analyst at Gainwell Technologies
Erin LambertiErin Lamberti
Senior Marketing Communications Lead at Gainwell TechnologiesSenior Marketing Communications Lead at Gainwell Technologies
Bethany straderBethany strader
Children's Ministry at Allison HoeferChildren's Ministry at Allison Hoefer