Professional Summary
Overview
Work History
Education
Skills
Timeline

Lauren McFarling

Gateway Health Alliance
Providence,NC
7
years of professional experience

Detail-oriented healthcare operations professional with many years of experience supporting administrative, enrollment, and contracting workflows. Skilled in cross-functional coordination, data accuracy, and problem-solving across providers, office staff, and payer teams. Focused on improving process efficiency and documentation quality.

Work History

Provider Enrollment Specialist

1 Year 3 Months
Gateway Health Alliance | 07.2025 - Current
  • Coordinate provider enrollment, payer contracting, and credentialing workflows to support network participation.
  • Manage provider agreements from initial outreach and fee schedule negotiations through execution and documentation.
  • Build and maintain relationships with providers, office staff, and payer representatives to resolve enrollment and contracting issues.
  • Coordinate single-case agreements (SPAs), including reimbursement negotiations and effective-date adjustments.
  • Resolve payer enrollment and claims-processing issues in collaboration with internal teams and external partners.
  • Maintain provider compliance documentation, including malpractice insurance records and updated CAQH information.
  • Develop reimbursement comparison materials and support delegated credentialing and fee-for-service agreements.
  • Develop a centralized acute-care facility credentialing pilot to standardize documentation and application tracking.

Administrative Assistant

5 Years 7 Months
Gateway Health Alliance | 12.2019 - 07.2025

· Facilitated administrative and operational functions across multiple departments in healthcare organization, enhancing interdepartmental collaboration

· Maintained 99% data entry accuracy, identifying and correcting errors to ensure reliable client and internal reporting

· Developed client reports and data summaries to inform wellness programs and guide management decision-making

· Coordinated and facilitated member health screenings, ensuring accurate documentation and timely data entry

· Created and maintained spreadsheets and tracking tools using Microsoft Word and Excel

· Designed and maintained spreadsheets and tracking tools in Microsoft Word and Excel, improving data organization and accessibility

· Researched wellness topics and developed client-facing educational materials and flyers

Education

Bachelor of Science - Business Administration

North Carolina State University | Raleigh, NC | 12-2024
  • Concentration: Human Resources Management
  • Honors: Magna Cum Laude

Associate of Arts - Liberal Arts

Danville Community College | Danville | 05-2022

Honors: Summa Cum Laude

Skills

Project coordination and workflow management
Cross-functional collaboration
Problem-solving and conflict resolution
Proficient data entry
High attention to detail
Strong organization skills

Timeline

Provider Enrollment Specialist

Gateway Health Alliance
07.2025 - CurrentRead More

Administrative Assistant

Gateway Health Alliance
12.2019 - 07.2025Read More

North Carolina State University

Bachelor of Science from Business Administration
Read More

Danville Community College

Associate of Arts from Liberal Arts
Read More
Lauren McFarling