Melinda Lujan
Albuquerque,NM
Summary
Results-driven professional with a strong focus on process improvement and quality assurance in credentialing. Known for driving regulatory compliance and enhancing data integrity, ready to leverage expertise to support organizational goals.
Overview
10
10
years of professional experience
Work History
Credentialing Specialist
Presbyterian Hospital
Albuquerque, NM
10.2025 - Current
- Conducted comprehensive credentialing reviews for healthcare providers to ensure compliance with regulatory standards.
- Collaborated with medical staff to gather and verify documentation required for licensure and privileges.
- Maintained accurate and confidential records in credentialing database, ensuring data integrity and accessibility.
- Assisted in the development of streamlined processes for timely provider onboarding and credentialing workflows.
Credentialing Specialist
Isleta Pueblo
Isleta
11.2015 - 10.2025
- Communicated effectively with internal departments to facilitate information exchange related to provider credentials.
- Participated in training sessions to enhance knowledge of credentialing regulations and hospital policies.
- Supported quality assurance initiatives by conducting periodic audits of credentialing files for accuracy and completeness.
- Adapted quickly to changes in regulatory requirements, ensuring ongoing compliance within the credentialing process.
Education
High School Diploma -
Rio Grande High School
Albuquerque, NM05-2000
Skills
- HIPAA compliance
- Provider enrollment
- Background checks
- Data management
Timeline
Credentialing Specialist
Presbyterian Hospital
10.2025 - Current
Credentialing Specialist
Isleta Pueblo
11.2015 - 10.2025
High School Diploma -
Rio Grande High School