Tiara Johnson
Urbandale
Overview
7
7
years of professional experience
Work History
CREDENTIALING SPECIALIST
Iowa Ortho
Des Moines
06.2025 - Current
- Oversee credentialing operations for 40+ providers (physicians, PAs, NPs, radiologists), ensuring full compliance with regulatory, payer, and hospital standards.
- Manage licensure, certifications, enrollments, and re-credentialing, including hospital privileges, payer enrollments, and expirables tracking.
- Optimized credentialing software systems, generating monthly compliance and provider status reports to enhance operational visibility.
- Collaborated with HR, Billing, Coding, Clinical Operations, and Outreach Clinics to streamline onboarding processes and improve provider workflow efficiency.
- Managed payer updates and roster management, reducing risk of claim denials and ensuring continuous provider participation.
CREDENTIALING SPECIALIST
UCS Healthcare
West Des Moines
08.2023 - Current
- Manage credentialing and re-credentialing processes to ensure compliance with regulatory and accreditation standards.
- Verified provider credentials including education, licensure, certifications, and work history across multiple specialties to ensure compliance and accuracy.
- Collaborated with internal and external teams to resolve discrepancies, ensuring timely credentialing and adherence to regulatory standards.
- Coordinated with insurance companies and healthcare facilities to maintain accurate provider information, facilitating seamless enrollment processes.
- Maintain and update databases to ensure timely enrollment with insurance companies and healthcare organizations.
- Manage confidential documents in compliance with HIPAA and privacy regulations.
RETAIL SALES ASSOCIATE
Michael Kors Outlet
Altoona
07.2019 - 06.2025
- Assisted customers in identifying needs and selecting merchandise, enhancing their shopping experience.
- Explained product features, care instructions, and usage to help customers make informed purchasing decisions.
- Provided knowledgeable answers regarding store products and services, fostering customer satisfaction and loyalty.
- Processed sales transactions and handled cash/credit payments.
LICENSING CLERK SPECIALIST
Iowa Department of Public Health
Des Moines
10.2022 - 08.2023
- Issued and recorded professional licenses across 19 licensure boards while maintaining strict confidentiality.
- Addressed public inquiries, clarified policies and procedures, and effectively resolved concerns to enhance stakeholder understanding.
- Utilized AMANDA 7 licensure database to accurately process documentation, ensuring compliance with Iowa Administrative Code.
- Provided consistent customer service and partnered with peers to achieve department objectives.
- Bureau of Professional Licensure
SOCIAL WORKER CASE MANAGER 2
Iowa Department of Human Services
Des Moines
04.2021 - 06.2022
- Managed high-volume caseload, effectively addressing crises and facilitating problem resolution through strong communication.
- Collaborated with stakeholders to develop and monitor service plans.
- Provided services in compliance with Iowa Code, Administrative Rules, and agency policies.
- Maintained timely documentation and ensured accuracy of confidential records, supporting compliance and service delivery.
- Conducted analysis and authored progress reports that informed compliance with federal and state requirements.
RESIDENTIAL OFFICER
Fresh Start Women's Center
Des Moines
05.2020 - 04.2021
- Delivered direct services in 24-hour community-based corrections facility, supporting clients through high-stress and emergent situations to ensure their well-being.
- Facilitated pro-social behaviors and equipped clients for successful community reentry, enhancing their integration into society.
- Implemented institutional policies, rules, and regulations to uphold safety and compliance standards within the facility.
- Worked within Fifth Judicial District
Education
Bachelor of Arts - Social Work (BSW)
University of Iowa
Iowa City, IA05-2020
Skills
- Provider credentialing and enrollment
- Licensure and certification management
- Compliance and regulatory standards
- Data tracking and reporting
- Case management
- File management
- Document management
- Cross-functional collaboration
- Written and verbal communication
- Confidential information handling
- Conflict resolution
Awards
Jean H. Winter & Robin Odem Scholarship Award, 2019
Timeline
CREDENTIALING SPECIALIST
Iowa Ortho
06.2025 - Current
CREDENTIALING SPECIALIST
UCS Healthcare
08.2023 - Current
LICENSING CLERK SPECIALIST
Iowa Department of Public Health
10.2022 - 08.2023
SOCIAL WORKER CASE MANAGER 2
Iowa Department of Human Services
04.2021 - 06.2022
RESIDENTIAL OFFICER
Fresh Start Women's Center
05.2020 - 04.2021
RETAIL SALES ASSOCIATE
Michael Kors Outlet
07.2019 - 06.2025
Bachelor of Arts - Social Work (BSW)
University of Iowa