Dawn Belllinger
@dawnbelllinger
Provider enrollment and credentialing operations expert focused on audit-ready payer compliance.
What I'm looking for
I’m a healthcare operations professional intentionally focused on provider enrollment, credentialing, payer relations, and revenue cycle operations—areas where I’ve consistently delivered value, built expertise, and found the greatest professional fulfillment.
Across provider enrollment, credentialing and recredentialing, primary source verification, and provider onboarding, I maintain provider data integrity and keep credentialing records audit-ready. I’m especially strong in managing Medicare participation, DMEPOS enrollment and compliance, and commercial payer participation requirements.
I bring hands-on payer relations and revenue cycle strength, including prior authorizations, payer communications, claims follow-up, and denial resolution. I also support EFT/ERA enrollment and help ensure ongoing compliance as payer and program rules change.
I’m recognized for accuracy, strong follow-through, problem-solving, and the ability to manage complex provider and payer requirements. I’ve also led training, interviewing, and staff development to strengthen operational performance and ensure teams execute consistently and correctly.
Experience
Work history, roles, and key accomplishments
Office Manager
Eye Was Framed Eye Care
Nov 2024 - Present (1 year 7 months)
Led provider enrollment, credentialing, and recredentialing, including CAQH maintenance and payer participation activities. Managed prior authorizations, EFT/ERA enrollment, payer communications, and claims follow-up/denial resolution while training staff and supporting revenue cycle operations.
Office Manager
Pavletic Eye Care
Apr 1997 - Nov 2024 (27 years 7 months)
Managed provider enrollment and credentialing workflows, including non-delegated payer applications, Medicare participation, and DMEPOS enrollment. Supported revenue cycle operations through provider data management, claims research, payer relations, interviewing/onboarding, and ongoing staff development.
Education
Degrees, certifications, and relevant coursework
JCAHPO
Continuing Education Coursework, Healthcare / Revenue Cycle & Credentialing
Activities and societies: Medical Billing & Reimbursement Seminars; Credentialing Education; CMS Updates; Payer Webinars; Revenue Cycle Training
Completed JCAHPO continuing education coursework and professional development trainings, including medical billing & reimbursement, credentialing education, CMS updates, payer webinars, and revenue cycle training.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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