Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
References
Timeline
Generic

Naya Williams

Houston

Summary

Dynamic Credentialing Specialist with a proven track record at Memorial Hermann Central Credentialing, excelling in regulatory compliance and effective communication. Adept at database management and conflict resolution, I have successfully streamlined credentialing processes, ensuring accuracy and efficiency while fostering collaboration among healthcare professionals. Committed to enhancing operational excellence in fast-paced environments.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Credentialing Specialist (Hybrid)

Memorial Hermann Central Credentialing
Houston
09.2023 - Current
  • Ensure consistent compliance of all medical personnel, including doctors, assistants, and other healthcare professionals, with relevant policies and regulations
  • Effectively use Microsoft, Excel, Word, and Email Software to input information into the database
  • Collaborate with providers and facilities to deliver administrative support in verifying the necessary requirements for initial and reappointment provider applications

Manager

Premier Daiquiris
Houston
08.2020 - 06.2024
  • Hired and trained staff members on customer service skills, food and beverage knowledge and health and safety standards
  • Maximize team knowledge and productivity by effective training, monitoring, and directing employees in application of best practices and regulatory protocols
  • Perform faculty walk-throughs to assess cleanliness and preparedness at beginning and end of shifts

Credentialing / Contracting Agent (Hybrid)

Emmanuel Behavioral Health, Inc.
Houston
05.2023 - 11.2023
  • Organize, maintain, and verify all aspects of the credentialing process with insurance companies
  • Also using operational requirements including scheduling meetings and expediting work results to obtain agency contracts
  • Responsible for being detail oriented to keep track of the expiration of certifications to maintain up-to-date files, and assist health plan providers and customers with phone inquiries
  • Effectively communicate when collaborating with insurance companies and the facility to provide administrative assistance in verifying financial requirements and functions related to the clinic to be in network with new providers
  • Effectively use Microsoft, Excel, Word, and Email Software to input information into the database

PAS Rep II

Conifer Health Solutions
Houston
12.2021 - 05.2023
  • As a PAS Rep II, I was responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations
  • I was responsible for effectively using Microsoft, Excel, Word, and Email Software to correct registration, insurance and benefit verification, financial requirements and functions related to patient intake
  • I help in guiding patients through the admissions process by screening patients for eligibility, preparing patient information for clinical staff, and answering patient questions

Qualitative Researcher / Facilitator

Roots Study Research Program Biomedical Prevention
Houston
02.2022 - 05.2022
  • Company Overview: (student employment)
  • Conducted multiple focus groups to gather information for my research project
  • Implemented outreach strategies to recruit candidates to participate in the research study focus group
  • Head of the marketing department and social media platform
  • (student employment)

Assistant Manager

City Gear/ Hibbits
Houston
08.2018 - 08.2020
  • Accurately execute all Company initiatives and policies with improvement to quality, service and operations while ensuring employee compliance
  • Proactively manage sanitation, maintenance, security and prevention of injury from accidents to ensure the safety of guests and staff
  • Analyzes and resolves work problems or assists employees in solving work problems

Nursing Assistant

St. Margaret's at Mercy Nursing Home
New Orleans
03.2017 - 05.2017
  • Company Overview: (student employment)
  • Assisted patient with feeding, mobility, and daily task
  • Set up medical equipment and assist with some medical procedures
  • Care for patients and provided personalized care under the supervision of a team of RNs
  • (student employment)

Crew Leader

Raising Cane's Chicken Fingers
Chalmette
08.2016 - 12.2016
  • Provided customer service to patrons
  • Trained new members on restaurant policy and how to maintain great customer service
  • Worked collaboratively with other crew members

Education

Bachelor of Healthcare Administration -

Texas Southern University
05.2022

Certified Nursing Assistance Program -

Elaine P. Nunez Community College
05.2017

Skills

  • Credentialing compliance
  • Performance appraisal
  • Database management
  • Data entry accuracy
  • Conflict resolution
  • Regulatory compliance
  • Effective communication
  • Problem solving
  • Team collaboration
  • Customer service
  • Document management
  • HR compliance

Certification

  • American Red Cross LifeGuard, First Aid, CPR, AED & Bloodborne Pathogens
  • Certified Nursing Assistant - Nunez Community College
  • Collaborative Institutional Training Initiative (CITI Program) Certification

Accomplishments

  • Alpha Kappa Alpha Sorority, Inc.
  • Dean's list
  • National Honors Society
  • Sigma Alpha Pi ~ National Society Of Leadership and Success

References

References available upon request.

Timeline

Credentialing Specialist (Hybrid)

Memorial Hermann Central Credentialing
09.2023 - Current

Credentialing / Contracting Agent (Hybrid)

Emmanuel Behavioral Health, Inc.
05.2023 - 11.2023

Qualitative Researcher / Facilitator

Roots Study Research Program Biomedical Prevention
02.2022 - 05.2022

PAS Rep II

Conifer Health Solutions
12.2021 - 05.2023

Manager

Premier Daiquiris
08.2020 - 06.2024

Assistant Manager

City Gear/ Hibbits
08.2018 - 08.2020

Nursing Assistant

St. Margaret's at Mercy Nursing Home
03.2017 - 05.2017

Crew Leader

Raising Cane's Chicken Fingers
08.2016 - 12.2016

Bachelor of Healthcare Administration -

Texas Southern University

Certified Nursing Assistance Program -

Elaine P. Nunez Community College

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Naya Williams