MONIQUE SANDERS ELLIS
Southfield
Summary
Dedicated healthcare leader with 18 years of experience guiding healthcare operations, human resources, finance, budgeting, sales, and customer service functions to strengthen organizations and improve patient care. Recognized for a people-first leadership style that empowers teams, builds trust, and creates collaborative, high-performing work cultures. Skilled at managing budgets, streamlining processes, and ensuring compliance, while keeping the focus on quality care and positive patient experiences. Known for bridging the gap between administrative excellence and compassionate service. Seeking a Healthcare Administrator role with a forward-thinking organization where I can contribute to organizational success while helping improve the lives of patients and communities served.
Overview
10
10
years of professional experience
Work History
Credentialing Supervisor
DEARBORN GROUP/HCSC
01.2023 - Current
- Leading a team of 15 credentialing specialists with the end to end process of credentialing. Maintaining credentialing databases for Dentemax and DNOA on behalf of Dearborn Group, ancillary subsidiary of Health Care Service Corporation (HCSC), which provides products and services to complement medical insurance coverage. Manage policy implementation, regulatory accreditation adherence, risk management, and special projects.
- Recommended improvements to business systems and procedures, and created new policies and procedures based on NCQA, CMS, and Medicare guidelines.
- Created and executed project plans to correct data inaccuracies of up to 20,000 providers per project, established timelines, and administered budgets.
- Monitored workflow and led efforts to optimize productivity while overseeing the team in completing 300 to 400 credentialed providers per week.
- Collaborated with the compliance and audit team to ensure that the credentialing department adhered to all regulatory requirements.
- Collaborated with interdisciplinary teams to resolve credentialing discrepancies and improve service delivery.
- Led initiatives to enhance data management practices within credentialing systems, increasing operational effectiveness.
- Maintained strict compliance with accreditation standards, ensuring all credentials were up-to-date and accurate.
- Partnered with legal counsel in cases involving credentialing disputes, providing necessary documentation and evidence to support organizational decisions.
- Developed strong relationships with external organizations for seamless information exchange during the verification process.
- Managed third-party vendor relationships, conducting ongoing compliance and regulatory monitoring to mitigate risk.
Account Coordinator
DEARBORN GROUP/HCSC
01.2020 - 01.2023
- Worked across the network to support the department in resolving provider and claim issues quickly and effectively. Managed relations between clients and providers. Assisted in managing network partner relationships for sales, compliance, and access.
- Conducted in-depth market research to identify new opportunities for account growth.
- Led weekly team meetings to discuss best practices for resolving common issues.
- Supported sales team in growing book of business by 6.7% YoY; generated $43M against $38M division goal.
- Managed communication between clients and internal teams, fostering collaborative relationships.
- Developed strong relationships with key stakeholders, fostering trust and long-term collaboration between clients and agency partners.
- Acted as a liaison between various departments within the organization, facilitating smooth collaboration on shared projects or initiatives.
- Facilitated onboarding of new clients, ensuring smooth transition and positive initial experience.
Office Manager
Dental One Partners
01.2016 - 01.2019
- Oversaw all daily office operations, drove process improvements to streamline workflow, and optimized efficiency. Supervised team of 10 direct reports.
- Credentialed and onboarding providers for multiple networks.
- Educated patients and providers on claims processing, prior authorizations, and claim payments.
- Maintained an overall safe work environment by enforcing safety procedures and facilitating training sessions.
- Introduced a paperless billing system that increased the rate of successful collection on delinquent accounts by 50%.
- Slashed office expenses 15% by standardizing office supply ordering procedures.
- Formalized procedures for system retention, protection, retrieval, transfer, and disposal of records.
- Led initiatives to optimize vendor onboarding procedures, enhancing overall stakeholder satisfaction.
- Analyzed market trends to identify potential new vendors and opportunities for cost savings.
- Strengthened vendor relationships and enhanced revenue streams by applying business development opportunities.
Education
MBA - Business Administration
University of Phoenix
Phoenix, AZ07-2025
Bachelor of Science - Health Administration
University of Phoenix
04-2016
Skills
- Healthcare Operations
- Credentialing
- Strategic Planning & Execution
- Account Management & Sales
- P&L Reporting
- Budgeting
- Project Management
- Vendor Management
- Report Writing
- Presentations
- Data Analytics
- Process Improvement Plans
- Recruiting & Hiring
- Provider Onboarding
- Team Leadership
- Performance Management
- Mentoring & Training
- Relationship Building
- Microsoft Suite Proficient
- Salesforce
- HR Onboarding Software
- Social Media Platforms
Timeline
Credentialing Supervisor
DEARBORN GROUP/HCSC
01.2023 - Current
Account Coordinator
DEARBORN GROUP/HCSC
01.2020 - 01.2023
Office Manager
Dental One Partners
01.2016 - 01.2019
MBA - Business Administration
University of Phoenix
Bachelor of Science - Health Administration
University of Phoenix