James R. Momenee
Sylvania Township
Summary
Credentialing expert with over six years’ experience and a proven record of translating complex payor requirements into streamlined results. Adept at building and enhancing relationships with payors via clear and concise communication. Additional expertise lies in strategizing and optimizing operational workflows to support organizational goals.
Overview
11
11
years of professional experience
Work History
Credentialing Enrollment Specialist
North American Dental Group
Remote
01.2019 - Current
- Completes credentialing enrollment applications with a strong working knowledge of payor requirements
- Maintained over 95% completion rate for credentialing applications, supporting timely provider onboarding
- Manages recredentialing requirements for over 500 providers in 15 states
- Prepares rosters and primary source verification for delegated credentialing
- Complies with legal regulations for provider rosters and directories
- Conducted personal outreach to providers and office managers to facilitate smooth credentialing processes
- Experienced in state funded Medicare and Medicaid enrollment
Software Training Instructor & Practice Support
North American Dental Group
Hybrid/Travel
01.2018 - 01.2019
- Traveled to newly acquired dental practices to teach software and train doctors, office managers, and regional leaders on company policies, ensuring smooth integration and adherence to standards
- Managed revenue cycle projects related to practice software conversions, facilitating transitions and improving operational effectiveness
- Answered help lines and support tickets, providing guidance to new practices and resolving issues to enhance user experience
Assistant Office Manager
North American Dental Group
Toledo
01.2017 - 01.2018
- Optimized treatment plans for complex orthodontic cases into actionable production with a high success rate
- Prioritized patient needs while managing tight schedules
- Communicated and educated patients on their insurance coverage and presented financial solutions toward treatment acceptance
Operations Management Associate
North American Dental Group
Sylvania
01.2016 - 01.2017
- Trained with Senior Office Managers to learn all aspects of office operations and personnel management
- Verified insurance coverage with multiple payors to ensure patient access to services
- Coordinated with providers to deliver treatment plans to patients
- Traveled locally to 8 offices to understand various socioeconomic needs
Marketing Coordinator
National Multiple Sclerosis Society
Maumee
01.2015 - 12.2015
- Managed major marketing campaigns, increasing donations and participation in region’s three premier charity bicycle rides and 10+ charity walks
- Created graphics and advertisements for print and digital media to enhance brand visibility
- Crafted and edited digital monthly newsletter to engage and inform subscribers
Education
Bachelor’s Degree - Communication & Political Science
The University of Toledo
Toledo, OH01.2012
Skills
- Delegated payor workflow experience
- Trusted liaison
- Operational strategist
- Workflow optimization
- Office management
- Stakeholder engagement
- Meets tight deadlines
- Quick, adaptable thinker
- Problem solver
- Excellent communication
Timeline
Credentialing Enrollment Specialist
North American Dental Group
01.2019 - Current
Software Training Instructor & Practice Support
North American Dental Group
01.2018 - 01.2019
Assistant Office Manager
North American Dental Group
01.2017 - 01.2018
Operations Management Associate
North American Dental Group
01.2016 - 01.2017
Marketing Coordinator
National Multiple Sclerosis Society
01.2015 - 12.2015
Bachelor’s Degree - Communication & Political Science
The University of Toledo