PROFESSIONAL SUMMARY
Overview
Work History
Education
Skills
Timeline

JULIA ROBERTS ERVIN

Great Lakes Dental Partners / Innovate 32
Knoxville,TN
19
years of professional experience

Healthcare credentialing and enrollment professional with 15+ years of experience in credentialing, licensing, payer enrollment and regulatory compliance. Experienced in supporting a large number of providers across multiple states, with proven leadership in team development, process improvement and cross functional collaboration.

Work History

Revenue Cycle Manager

6 Years 3 Months
Great Lakes Dental Partners / Innovate 32 | 07.2020 - Current
  • Leads credentialing, licensing, recredentialing and payer enrollment operations supporting 200+ providers across multiple states.
  • Communicates directly with providers regarding enrollment requirements, documentation, status updates and payer participation.
  • Coordinates commercial, Medicare and Medicaid enrollment across multiple states, maintaining compliance and accurate provider records.
  • Oversees provider records, license tracking, recredentialing timelines, and enrollment status to support timely approvals to prevent participation/credentialing delays.
  • Serves as a primary escalation point for complex credentialing and enrollment issues, collaborating with providers, payers, and internal teams to resolve discrepancies and delays.
  • Leads and supports credentialing team members by providing guidance, prioritizing workloads and promoting accuracy, accountability and professional development.
  • Partners with office managers and operations teams to identify workflow gaps, improve processes and support revenue cycle performance.
  • Develops standardized workflows, SOPs, and onboarding documentation to improve consistency, efficiency, and compliance.
  • Utilizes CAQH ProView, SkyGen Dental Hub, Modio, state Medicaid portals, payer-specific enrollment systems, and Power BI reporting to manage enrollment and identify process improvements.
  • Collaborates with billing and operations teams to investigate enrollment-related claim denials, payer discrepancies, and reimbursement barriers.
  • Monitors revenue cycle performance, identifying process gaps and implementing efficiency improvements.

Treatment Coordinator

9 Years 4 Months
Children's Dentistry of Knoxville | 01.2011 - 05.2020
  • Coordinated provider credentialing, insurance verification and payer enrollment to support coverage, reimbursement and continuity of care.
  • Served as a liaison between providers, patients, insurance carriers and clinical teams to resolve credentialing, claims and coverage issues.
  • Managed treatment authorizations, referrals and insurance documentation to minimize delays and support timely reimbursement.
  • Investigated billing discrepancies, claim denials and payment issues; coordinating follow-up with insurance carriers to resolve outstanding balances.
  • Collaborated with clinical and administrative teams to improve workflows and insurance related issues; minimizing treatment delays while enhancing patient satisfaction and treatment acceptance.
  • Provided guidance and operational support to team members, helping prioritize workloads, resolve complex issues and maintain consistent processes.
  • Coordinated patient treatment planning and financial consultations, reviewing insurance benefits, explaining coverage and out of pocket costs.

Office Manager

3 Years 1 Month
Baker Family Chiropractic | 08.2007 - 09.2010
  • Managed daily office operations, including staff scheduling, workflow management, budgeting, inventory management and patient relations to maintain efficient operations and a positive patient experience.
  • Managed provider credentialing and recredentialing, provider licensure tracking and continuing education requirements.
  • Oversaw insurance verification, benefit coordination, claims follow up and billing resolution to support accurate reimbursement.
  • Coordinated patient treatment planning and financial consultations, explaining insurance coverage, treatment costs and patient financial responsibilities.
  • Led administrative workflows and collaborated with staff to improve efficiency, strengthen accountability and enhance the patient experience.

Education

Bachelor of Science

Middle Tennessee State University | Murfreesboro, TN

32 Credits Toward Masters of Arts in Education

East Tennessee State University | Johnson City, TN

Skills

Provider Credentialing & Recredentialing
Provider enrollment and Revalidation
Primary Source Verification (PSV)
State Licensure and Compliance
CAQH ProView Management and Attestations
Commerical
Medicare and Medicaid Enrollment
Payer Relations & Network Participation
Provider Data Management
Credentialing Team Leadership and Development
Cross-Functional Collaboration
Workflow Optimization & Process Improvement
Standard Operating Procedures (SOPs)
Claims Resolution & Reimbursement Support
Revenue Cycle Operations
Power BI Reporting and Data Analysis
NPI Registry & Database Management

Timeline

Revenue Cycle Manager

Great Lakes Dental Partners / Innovate 32
07.2020 - CurrentRead More

Treatment Coordinator

Children's Dentistry of Knoxville
01.2011 - 05.2020Read More

Office Manager

Baker Family Chiropractic
08.2007 - 09.2010Read More

Middle Tennessee State University

Bachelor of Science
Read More

East Tennessee State University

32 Credits Toward Masters of Arts in Education
Read More

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JULIA ROBERTS ERVIN