Tamieka Williams
Dallas
Summary
Healthcare professional with 20 years of experience in administration, client account management, and credentialing. Demonstrated success in driving strategic initiatives and managing client health products. Expertise in credentialing processes, database maintenance, and compliance management, ensuring efficient onboarding and service delivery. Recognized for high productivity and effective communication skills, facilitating smooth collaboration with healthcare teams.
Overview
11
11
years of professional experience
Work History
Credentialing Specialist/Contractor
Intergrated Resources/Molina Healthcare
02.2025 - 12.2025
- Reviewed provider applications for compliance with credentialing standards.
- Coordinated verification of credentials through state and federal databases.
- Managed credentialing processes using industry-specific software systems.
- Processed applications to ensure accuracy, completeness, and adherence to accreditation standards.
- Conducted primary source verifications for criminal histories, licenses, and board certifications.
Sr. Credentialing Specialist/Contractor
The Judge Group/Northern Light Health
06.2024 - 12.2024
- Managed credentialing process for extensive healthcare caseload, ensuring regulatory compliance and industry standards.
- Maintained current understanding of credentialing requirements to uphold best practices consistently.
- Collaborated with HR, Compliance, and Legal departments to collect essential credentialing information.
- Verified documentation from healthcare providers for completeness and accuracy.
- Performed primary source verification for education, licensure, certifications, and work history.
- Cultivated relationships with licensing boards and professional associations to streamline credentialing.
- Communicated with healthcare providers regarding incomplete documentation efficiently.
- Conducted regular audits on credential files to ensure thoroughness.
Sr Credentialing Specialist/Contractor
Wheeler Staffing Partners/Tenet
Dallas
09.2023 - 04.2024
- Managed credentialing activities to ensure compliance with industry standards and maintain accreditation.
- Oversaw verification of educational credentials, training, certification, and provider qualifications.
- Acted as liaison between staff and administration to address concerns and enhance communication.
- Cross-trained staff on major job responsibilities to improve overall team efficiency.
- Mentored designated personnel through preceptorship, providing guidance for professional development.
- Coordinated interactions with regulators and facilitated meetings through agenda preparation.
- Identified necessary changes to uphold regulatory standards and accreditation requirements.
- Served as first line of defense in credentialing processes to ensure adequate staffing.
Client Account Manager
AMN Healthcare
08.2021 - 10.2023
- Oversaw contract negotiations to establish robust service agreements with clients.
- Managed client relationships, ensuring satisfaction and retention through proactive engagement.
- Coordinated onboarding processes for new healthcare clients and staff to enhance integration.
- Facilitated communication between clients and internal teams, promoting project alignment.
- Developed training materials to educate clients on available healthcare services.
- Conducted strategic planning calls and meetings with key contacts to address critical issues.
- Demonstrated and trained new administrators on company products and platforms.
Credentialing Analyst
AMN Healthcare
03.2020 - 08.2021
- Oversaw compliance with governmental and organizational guidelines for tiered data access through credentialing requests.
- Tracked and documented updates, certifications, and credentialing to maintain informational resources.
- Verified documentation against compliance standards and communicated deficiencies for resolution.
- Reviewed collected data to identify potential compliance issues necessitating further investigation.
- Conducted primary source verifications including criminal histories, licenses, and board certifications.
Sr. Credentialing Coordinator
Acclaim Physician Group
Dallas/Fort Worth Area
03.2018 - 03.2020
- Responsible for leading the activities associated with coordinating, monitoring, and maintaining the credentialing and recredentialing process.
- Initiate and oversee credentialing for new hires; Support the onboarding process for new hires.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
- CAQH profile creation and attestations.
- Prepared Files for Audit as well as Credentialing Committee.
Sr. Appeal And Grievance Specialist
Universal American
10.2016 - 06.2017
- Managed grievance claims by effectively communicating with stakeholders.
- Coordinated documentation collection from healthcare providers to support claims.
- Analyzed customer issues to formulate appropriate resolution strategies.
- Examined data sources to identify root causes of grievances and propose solutions.
Medicare Appeals and Grievances Coordinator(Part D)
Aetna
Arlington
11.2014 - 10.2016
- Served as primary contact for support and advocacy of Medicare members regarding grievances.
- Coordinated grievance resolution process by evaluating and addressing member complaints per regulations.
- Categorized complaints into grievances, appeals, or inquiries based on CMS definitions.
- Referred coverage determinations to relevant departments and ensured timely follow-up for resolution.
- Assessed and investigated complex issues to enhance member satisfaction effectively.
- Conducted comprehensive research to evaluate and respond to member grievances promptly.
- Collaborated with various departments to identify resolutions and propose recommendations to management.
- Ensured compliance with Medicare Chapter Guidance throughout the grievance handling process.
Education
Bachelor of Business Administration (BBA) - Business Administration and Management, General
Northwood University-Texas
Cedar Hill, TX05-2010
Skills
- Source verification and accuracy
- Client relationship management
- CAQH proficiency
- Reporting and analysis
- Audit preparation
- Regulatory compliance
- Training development
Timeline
Credentialing Specialist/Contractor
Intergrated Resources/Molina Healthcare
02.2025 - 12.2025
Sr. Credentialing Specialist/Contractor
The Judge Group/Northern Light Health
06.2024 - 12.2024
Sr Credentialing Specialist/Contractor
Wheeler Staffing Partners/Tenet
09.2023 - 04.2024
Client Account Manager
AMN Healthcare
08.2021 - 10.2023
Credentialing Analyst
AMN Healthcare
03.2020 - 08.2021
Sr. Credentialing Coordinator
Acclaim Physician Group
03.2018 - 03.2020
Sr. Appeal And Grievance Specialist
Universal American
10.2016 - 06.2017
Medicare Appeals and Grievances Coordinator(Part D)
Aetna
11.2014 - 10.2016
Bachelor of Business Administration (BBA) - Business Administration and Management, General
Northwood University-Texas