Marcia Miller
Pillager,MN
Summary
Experienced with credentialing processes and compliance management. Utilizes effective communication and team leadership to drive operational improvements. Track record of enhancing efficiency and maintaining high standards in credentialing.
Overview
37
37
years of professional experience
Work History
Credentialing Manager
Lakewood Health System
04.2009 - 06.2025
- Managed and assisted with the processing of new provider credentialing applications and reappointment applications for over 300 providers.
- Researched and developed privileges for new specialty services.
- Enrolled and maintained provider and facility payor enrollments (CMS, NPPES, state, and commercial).
- Experience with multiple online payor enrollment systems (PECOS, CAQH, MNITS, MPSE).
- Experience with multiple PSV modalities.
- Experience with audits and survey compliance.
- Led credentialing processes for new healthcare providers, ensuring compliance with regulatory standards.
- Developed and implemented efficient workflows, enhancing credentialing turnaround time across departments.
Payroll Assistant
Lakewood Health System
08.2005 - 04.2009
- Processed payroll for over 400 employees, utilizing ADP software.
- Maintained employee records in HRIS systems, guaranteeing data integrity and compliance.
Account Clerk, Senior
Minnesota Department of Transportation
08.1997 - 06.2005
- Accounts Payable
- Payroll Clerk
- Front Desk (Reception; Dispatcher; Adopt-A-Highway Coordinator)
Front Desk
Oral & Maxillofacial Surgery Associates
08.1988 - 08.1997
Education
General Secretarial Certification -
Brainerd Technical College
Brainerd, MN05.1985
Skills
- Detail oriented
- Multitasking
- Computer literacy
- Communication skills
- Leadership
- Microsoft excel
- Microsoft word
- MAMSS
- PECOS
- MPSE
- Provider enrollment
- Application processing
- Documentation review
- Accreditation compliance
Timeline
Credentialing Manager
Lakewood Health System
04.2009 - 06.2025
Payroll Assistant
Lakewood Health System
08.2005 - 04.2009
Account Clerk, Senior
Minnesota Department of Transportation
08.1997 - 06.2005
Front Desk
Oral & Maxillofacial Surgery Associates
08.1988 - 08.1997
General Secretarial Certification -
Brainerd Technical College