Tamika Stewart
Jacksonville
Summary
Experienced Provider Enrollment and Healthcare Administration Professional with 15+ years of success supporting Medicare operations, provider enrollment, healthcare compliance, and customer service initiatives. Extensive experience screening, enrolling, and maintaining provider participation in government healthcare programs while ensuring compliance with CMS regulations and credentialing requirements. Combined administrative and clinical healthcare background, working directly with physicians and advanced practice providers to support patient care and operational excellence. Recognized for strong analytical abilities, attention to detail, regulatory knowledge, and commitment to exceptional service.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Certified Nursing Medical Assistant
NaphCare Inc.
Jacksonville, FL
01.2023 - Current
- Work directly alongside physicians, nurse practitioners, and healthcare providers during patient visits to support quality patient care and efficient clinical operations.
- Assist providers with examinations, assessments, treatments, and medical procedures.
- Obtain and document vital signs, medical histories, and patient information accurately within medical records systems.
- Coordinate patient flow and prepare examination rooms to ensure efficient provider visits.
- Facilitate communication between patients, providers, and healthcare staff to support continuity of care.
- Maintain confidentiality and compliance with healthcare regulations and organizational standards.
- Deliver compassionate patient-centered service in a fast-paced healthcare environment.
Onboarding Associate
Aston Carter
Jacksonville, FL
01.2021 - 01.2023
- Coordinated onboarding activities and maintained employment documentation for new hires.
- Reviewed records for completeness, accuracy, and compliance with company policies.
- Managed confidential employee information while maintaining strict data security standards.
- Collaborated with internal departments to resolve onboarding issues and ensure timely completion of hiring requirements.
- Utilized multiple systems to track documentation and workflow progress.
Provider Enrollment Analyst
First Coast Service Options (Florida Blue)
Jacksonville, FL
01.2015 - 01.2021
- Screened, reviewed, and processed Medicare Part A and Part B provider and supplier enrollment applications.
- Performed provider enrollment, revalidation, and maintenance activities in accordance with CMS regulations and guidelines.
- Conducted professional license verification through Florida Department of Health and other licensing authorities.
- Utilized PECOS (Provider Enrollment, Chain, and Ownership System) to support provider enrollment and updates.
- Verified National Provider Identifiers (NPI) through NPPES and validated provider eligibility requirements.
- Educated providers and suppliers on Medicare enrollment procedures and electronic application submission processes.
- Collaborated with Centers for Medicare & Medicaid Services (CMS) regarding enrollment requirements and process improvements.
- Applied Program Integrity Manual (PIM) standards to ensure compliance and enrollment accuracy.
- Maintained detailed provider records and monitored enrollment status to ensure timely processing.
- Delivered exceptional customer service while resolving provider inquiries and enrollment-related issues.
HR Directions Benefit Enrollment Analyst
NorthgateArinso / State of Florida People First & DuPont
Jacksonville, FL
01.2007 - 01.2015
- Administered employee benefit enrollment and eligibility processes for large organizations.
- Reviewed enrollment documentation for completeness and accuracy.
- Assisted employees with benefit selections, eligibility questions, and enrollment procedures.
- Maintained confidential records while ensuring compliance with organizational policies and procedures.
- Supported process improvement initiatives to enhance enrollment efficiency.
Medicare HMO Member Advocate Specialist
Convergys / AT&T
Jacksonville, FL
01.1997 - 01.2007
- Assisted Medicare beneficiaries with health plan benefits, eligibility, and coverage information.
- Resolved member concerns through effective problem-solving and customer service.
- Educated members regarding healthcare resources and Medicare programs.
- Consistently maintained high customer satisfaction standards through professional communication and service excellence.
Education
Master of Science - Psychology, Industrial & Organizational Psychology
University of Phoenix
Tempe, AZ08-2019
Bachelor of Science - Business Administration
University of Phoenix
Tempe, AZHigh School Diploma -
Plantation High School
Fort Lauderdale, FLSkills
- Provider Enrollment & Revalidation
- Medicare Part A & B Enrollment
- Provider Credentialing Support
- PECOS Administration
- NPPES/NPI Verification
- License Verification
- CMS Regulations & Compliance
- Program Integrity Manual (PIM)
- Provider Relations
- Healthcare Administration
- Medical Documentation
- Regulatory Compliance
- Process Improvement
- Quality Assurance
- Customer Service Excellence
- Cross-Functional Collaboration
- Problem Resolution
- Data Management
- Microsoft Office Suite
- PECOS
- NPPES
- CMS Systems
- Microsoft Word
- Excel
- Outlook
- PowerPoint
- Electronic Health Records (EHR)
- Healthcare Information Systems
- Database Management
- Electronic Documentation Systems
- Attention to Detail
- Provider Support & Education
- Relationship Building
- Analytical Thinking
- Written & Verbal Communication
- Organization & Time Management
- Team Collaboration
Certification
- Certified Nursing Medical Assistant (CNMA) | 2023
- Basic Life Support (BLS)
- CPR, AED & First Aid Certified | 2023
Timeline
Certified Nursing Medical Assistant
NaphCare Inc.
01.2023 - Current
Onboarding Associate
Aston Carter
01.2021 - 01.2023
Provider Enrollment Analyst
First Coast Service Options (Florida Blue)
01.2015 - 01.2021
HR Directions Benefit Enrollment Analyst
NorthgateArinso / State of Florida People First & DuPont
01.2007 - 01.2015
Medicare HMO Member Advocate Specialist
Convergys / AT&T
01.1997 - 01.2007
Master of Science - Psychology, Industrial & Organizational Psychology
University of Phoenix
Bachelor of Science - Business Administration
University of Phoenix
High School Diploma -
Plantation High School