SILVER STARKEY
Tampa,FL
Summary
Strategic and results-driven leader with experience in overseeing network contracting and credentialing processes within the dental industry. Expert in fee negotiating contract terms with payers and claim processing. Well-versed in managing cross-functional teams, fostering a culture of continuous improvement, and driving initiatives that enhance organizational reputation, provider satisfaction, and patient care outcomes.
Overview
13
13
years of professional experience
Work History
Credentialing Manager
COAST DENTAL
TAMPA, FL
01.2022 - Current
- Verifies the accuracy and completeness of provider applications, ensuring that all required documents are submitted
- Conducted primary source verification on all credentials prior to granting privileges.
- Maintains accurate and up-to-date electronic files of all credentialing documentation
- Provides support and guidance to field and RCM for claim appeals regarding credentialing.
- Responsible for Annual Delegated Audits
- Monthly meeting with all payer contacts
- Participates in QAPI meetings concerning regulatory changes impacting the organization's credentialing program.
- Maintains the credentialing database, ensuring timely updates and accurate records.
- Identified areas for improvement within the organization's current credentialing system.
- Assisted with the development and implementation of policies related to provider credentialing.
Chief Strategy Officer
HEADS UP HEALTHCARE FORMALLY DENTALWORKS USA
TAMPA, FL
01.2016 - 01.2022
- Strategically coordinates and manages the dental claim management process
- Responsible for Dental Care Coordinators and Provider Network
- Establishes ADA code fee schedules per region for carrier and provider
- Productively manages client relationships to encourage repeat business and customer satisfaction
- Monitors metrics, reporting, and forecasting, including Revenue Cycle Management
- Aligns performance targets with overall corporate objectives.
Director of Dental Services
DENTALWORKS USA
TAMPA, FL
01.2012 - 01.2014
- Manages the dental care coordination for workers compensation dental claims
- Recruits, trains, and supervises a 10-member team on best practices, customer service techniques, new software orientation, and worker compensation law per state
- Boosts the number of providers from 0 to 2900+ nationwide by maximizing network relationships, penetrating untapped cities and states, and utilizing innovative promotional campaigns
- Reviews all treatment plans for proper ADA code utilization to ensure approval with insurance company
- Improves system efficiency by 92% through successful optimization of claims and billing processes.
Vice President of Business Development
COMMUNITY DENTAL SERVICES
TAMPA, FL
01.2011 - 01.2012
- Increases personal sales from $2.5K to $20K and number of enrollees from 25 to 150 within 9 months by creating successful marketing initiatives for ten home care/nursing home facilities
- Works collaboratively with CEO and COD in developing dental treatment services for long-term facilities based on client needs, requirements, and budgetary constraints
- Serves an integral role as Project Manager with the responsibility of overseeing facility and office operations while coordinating with dentists, attending physicians, and clinicians
- Builds long-term relationships with residents and care facilities to increase patient satisfaction and care efficiency.
Previous Experience
DR. TIM TELLIOS DMD, Practice Administra
Tampa, FL
- DR. TIM TELLIOS DMD, Practice Administrator 2007-2011 EXPRESS DENTAL CARE LLC, Dental Care Coordinator Supervisor | Network Developer 2005-2007
Education
Business Administration -
Hillsborough Community College
trueDental Assistant and Radiology Certification -
Concorde Career Institute
TampaSkills
- Strategic leadership
- Contract negotiation
- Credentialing processes
- Operational efficiency optimization
- Provider Network Enhance
- PPO, DHMO reimbursements
- Verification of credentialing files
- Team management and collaboration
- Patient care outcomes improvement
- CDT-Coding
- Claims Processing
- Insurance Verification
Affiliations
- Hillsborough County Oral Care Coalition
- United States Navy Reserve
Timeline
Credentialing Manager
COAST DENTAL
01.2022 - Current
Chief Strategy Officer
HEADS UP HEALTHCARE FORMALLY DENTALWORKS USA
01.2016 - 01.2022
Director of Dental Services
DENTALWORKS USA
01.2012 - 01.2014
Vice President of Business Development
COMMUNITY DENTAL SERVICES
01.2011 - 01.2012
Previous Experience
DR. TIM TELLIOS DMD, Practice Administra
Business Administration -
Hillsborough Community College
Dental Assistant and Radiology Certification -
Concorde Career Institute
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