Cheryl Hooten
@cherylhooten
I lead compliant 340B, credentialing, payer enrollment, and revenue cycle operations across complex healthcare networks.
United StatesWhat I'm looking for
At Betances Health Center, I lead 340B compliance and provider credentialing across Medicare, Medicaid, and commercial payers, supporting participation, billing readiness, and regulatory compliance.
I use prescription, dispensing, enrollment, and performance data to identify ineligible claims, prevent revenue leakage, improve workflows, and deliver executive dashboards and Medicare cost reports.
Previously, I managed high-volume claims, EOB analysis, denial trends, provider records, and billing reporting at Center for Urban Community Services. At Manhattan Management Services, I supervised revenue cycle operations processing 500+ daily claims and built training programs and SOPs.
Across 13+ years in healthcare operations, I’ve maintained audit-ready processes, data integrity, HIPAA alignment, and 100% on-time recertifications while helping teams reduce risk and strengthen reimbursement performance.
Experience
Work history, roles, and key accomplishments
340B Compliance/Credentialing Associate
Betances Health Center
Mar 2020 - Present (6 years 6 months)
Lead oversight of 340B Program operations and compliance, ensuring adherence to federal regulations. Direct end-to-end provider credentialing and enrollment across Medicare, Medicaid, and commercial payers, improving turnaround times and minimizing revenue delays.
Medical Billing Coordinator
Center for Urban Community Services
Aug 2016 - Feb 2020 (3 years 6 months)
Managed high-volume ACT and HCBS claims operations across multiple payers, ensuring accurate processing and timely reimbursement. Conducted EOB analysis and denial trend identification, implementing corrective workflows to improve reimbursement accuracy.
Medical Billing Supervisor
Manhattan Management Services
Sep 2011 - Aug 2016 (4 years 11 months)
Oversaw end-to-end revenue cycle operations for a high-volume claims unit, driving efficiency and accuracy with consistent throughput of 500+ daily claims. Developed training programs and SOPs across multiple billing platforms, reducing processing errors.
Education
Degrees, certifications, and relevant coursework
Associate's degree
Associate's degree, Computer Programming & Information Systems
Associate's degree in Computer Programming & Information Systems.
Certificate
Certificate, Medical Billing & Coding
Certificate in Medical Billing & Coding.
Provider Enrollment Specialist Certificate
Certificate, Provider Enrollment
Provider Enrollment Specialist Certificate.
Apexus
Certificate, 340B University OnDemand
340B University OnDemand certification from Apexus.
HIPAA Compliance Certification
Certificate, HIPAA Compliance
HIPAA Compliance Certification.
Medical and Clinical Administration Certificate
Certificate, Medical and Clinical Administration
Medical and Clinical Administration Certificate.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
Skills
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