Monica Johnson-Nalls
Leeds,AL
Summary
Results-driven credentialing coordinator with a proven track record of high productivity and swift task completion, without sacrificing quality. Expertise in navigating complex credentialing processes, maintaining accurate provider data, and ensuring compliance with healthcare regulations. Strong organizational, communication, and problem-solving skills enhance operational efficiency in fast-paced environments. Committed to fostering collaboration among team members while effectively managing multiple priorities.
Overview
9
9
years of professional experience
Work History
Credentialing Coordinator
Vaco (Viva-Triton Health) - Temporary
10.2024 - 02.2025
- Managed credentialing processes for practitioners and allied health professionals, ensuring adherence to guidelines.
- Streamlined provider setup with accurate and efficient data incorporation.
- Evaluated monthly credentialing data trends for effective workload forecasting.
Credentialing / Payer Enrollment Specialist
Pathway Healthcare, LLC.
01.2024 - 06.2024
- Maintained up-to-date CAQH profiles and PECOS records for healthcare providers.
- Enhanced accuracy of provider demographic data on multiple payer platforms.
- Upgraded spreadsheet documentation systems, enhancing tracking processes.
Practice Coordinator
TeamHealth
12.2021 - 01.2024
- Optimized administrative and operational workflows to boost practice management effectiveness.
- Recorded patient interactions with exceptional attention to detail, optimizing clinical and billing workflows.
- Collected and evaluated critical performance indicators to facilitate facility metrics assessment.
Credentialing Specialist
American Family Care
02.2021 - 12.2021
- Company Overview: Remote.
- Maintained accuracy in provider files through efficient management of credentialing and re-credentialing.
- Streamlined provider enrollment documentation process by obtaining payer ID numbers.
- Ensured accurate digital documentation for Revenue Cycle Management.
Care Coordinator-RRC
NaphCare, Inc. (Federal Bureau of Prisons)
10.2017 - 02.2021
- Company Overview: Hybrid.
- Enhanced scheduling process, ensuring protocol compliance and goal achievement.
- Managed contract negotiations to enhance partnerships with hospitals and providers.
- Performed community healthcare research and financial analysis.
Operation Assistant-RRC
NaphCare, Inc. (Federal Bureau of Prisons)
06.2017 - 10.2017
- Company Overview: Hybrid
- Maintained and organized medical records while adhering to healthcare compliance protocols.
- Applied detailed knowledge of medical terminology when reviewing and organizing documentation for accurate billing.
Medical Billing Associate
Seale Harris Clinic
01.2017 - 05.2017
- Rectified discrepancies during invoice issuance to uphold billing integrity.
- Maintained up-to-date records through effective management of patient account data and timely responses to inquiries.
Patient Registration Scheduler
Children's Hospital of Alabama
06.2016 - 10.2016
- Ensured operational efficiency by streamlining appointment workflows and improving communication between departments.
- Reported scheduling metrics regularly to aid in the improvement of patient visit planning.
Access Center Representative
University of Alabama at Birmingham
01.2016 - 06.2016
- Handled patient inquiries, optimizing appointment scheduling.
- Teamed up with healthcare personnel to fulfill patient requirements and launched educational initiatives as per physician instructions, sustaining excellent care standards.
Education
HealthCare Administration -
Herzing University
12-2026
Skills
- Clinical Terminology Expertise
- Core Contracting Abilities
- Problem-Solving Proficiency
- Effective Troubleshooting
- CAQH Data Management
- Billing and Collection Procedures Expert
- Records Management Specialist
- OASIS Billing Expertise
- Experienced with Microsoft Office Tools
- Proficient in Healthcare Procedures
- Peco Application Knowledge
- Credentialing Management
- Effective Written Communication
- Analytical Problem-Solving
- Project Coordination
- Data Management
- Data Reporting
- Issue resolution
- Payer enrollment
Timeline
Credentialing Coordinator
Vaco (Viva-Triton Health) - Temporary
10.2024 - 02.2025
Credentialing / Payer Enrollment Specialist
Pathway Healthcare, LLC.
01.2024 - 06.2024
Practice Coordinator
TeamHealth
12.2021 - 01.2024
Credentialing Specialist
American Family Care
02.2021 - 12.2021
Care Coordinator-RRC
NaphCare, Inc. (Federal Bureau of Prisons)
10.2017 - 02.2021
Operation Assistant-RRC
NaphCare, Inc. (Federal Bureau of Prisons)
06.2017 - 10.2017
Medical Billing Associate
Seale Harris Clinic
01.2017 - 05.2017
Patient Registration Scheduler
Children's Hospital of Alabama
06.2016 - 10.2016
Access Center Representative
University of Alabama at Birmingham
01.2016 - 06.2016
HealthCare Administration -
Herzing University
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