Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Committee Memberships
Timeline
Generic

Talesha Rollock

Wake Forest

Summary

Dynamic Information System Specialist with extensive experience at UNC Physicians Network, excelling in project management and credentialing processes. Proven ability to enhance business performance through effective relationship building and quality assurance. Skilled in utilizing EPIC and MS Office to streamline operations, ensuring compliance and accuracy in provider credentials.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Information System Specialist

UNC Physicians Network
Morrisville
01.2021 - 01.2025
  • Project management worked closely with Business Development managers for acquisitions, new builds, relocations, practice closures/unwinds, and practice name changes to ensure updates were reported in a timely manner, both internally and to commercial payers.
  • Participated in meetings with stakeholders to discuss changes in regulatory standards or policies impacting credentialing activities.
  • Risk management ensured all providers had appropriate malpractice coverage.
  • Responsible for reappointment applications for 1,000 active providers.
  • Ensured compliance with applicable laws, regulations, policies, procedures, and accreditation standards related to provider credentialing.
  • Hardworking, highly motivated professional, eager to lend combined knowledge and skills to enhance business performance.
  • Created detailed user manuals and training materials for new users on the system.
  • Conducted regular audits of credentialing files to ensure accuracy and completeness.
  • Prepared and submitted detailed reports on credentialing progress to management.
  • Provided guidance and training to new staff members on credentialing procedures and protocols.
  • Participated in credentialing committees, presenting cases and making recommendations.

Credentialing & Insurance Enrollment Coordinator

UNC Physicians Network
Morrisville
04.2019 - 12.2020
  • Participated in meetings with senior leadership team members as required
  • Assisted with onboarding new providers by verifying credentials according to established standards
  • Utilized various software applications to accurately manage data related to credentialing processes
  • Created reports on credentialing activities for management review and tracking purposes
  • Completed credentialing and re-credentialing applications to process files and applications
  • Provided outstanding customer service and support to clients, resolving inquiries efficiently and effectively
  • Successfully managed multiple projects simultaneously while maintaining high standards of performance
  • Developed relationships with customers by providing prompt responses to requests and inquiries
  • Responsible for the initial credentialing and re-credentialing of WPP providers with all payers via paper application, CAQH or delegated credentialing

Provider Enrollment Representative

Wake Med Health and Hospital
Raleigh
04.2016 - 11.2018

Finance & Accounting Representative

Wake Med Health and Hospital
Raleigh
07.2015 - 04.2016

Customer Service Representative

Wake Med Health and Hospital
Raleigh
09.2014 - 07.2015

Provider Relations Representative

Computer Science Corporation
Raleigh
09.2013 - 06.2014

Credentialing Coordinator

Computer Science Corporation
Raleigh
09.2012 - 09.2013

Provider Enrollment Specialist

Saguaro Management & Accounting Services
Raleigh
06.2008 - 07.2012

Education

Masters - Healthcare Administration

Strayer University
RTP, NC
08.2015

Bachelor -

Strayer University
RTP, NC
03.2010

Skills

  • Detail oriented
  • Problem Solving
  • Multitasking
  • Process Improvement
  • Medical terminology
  • Project Management
  • Quality Assurance
  • Teamwork and collaboration
  • Relationship building
  • Excellent communication
  • Time management abilities
  • Credential Stream
  • Relationship building
  • Echo
  • Cactus
  • EPIC
  • Allscripts
  • Misys
  • NC Tracks
  • MS Office

Affiliations

  • NCAMSS
  • NAMSS

Certification

  • Notary Public
  • BLS
  • Medication Technician

Committee Memberships

UNC Health Professional Services Credentialing Committee, Committee Member

Timeline

Information System Specialist

UNC Physicians Network
01.2021 - 01.2025

Credentialing & Insurance Enrollment Coordinator

UNC Physicians Network
04.2019 - 12.2020

Provider Enrollment Representative

Wake Med Health and Hospital
04.2016 - 11.2018

Finance & Accounting Representative

Wake Med Health and Hospital
07.2015 - 04.2016

Customer Service Representative

Wake Med Health and Hospital
09.2014 - 07.2015

Provider Relations Representative

Computer Science Corporation
09.2013 - 06.2014

Credentialing Coordinator

Computer Science Corporation
09.2012 - 09.2013

Provider Enrollment Specialist

Saguaro Management & Accounting Services
06.2008 - 07.2012

Masters - Healthcare Administration

Strayer University

Bachelor -

Strayer University
Talesha Rollock