Dreama Hembree

Lead end-to-end credentialing and payer enrollment for multi-state providers, ensuring NCQA, CMS, and payer compliance while supporting practice expansion initiatives. Manage client reporting, negotiate contract amendments, and mentor teams to maintain high client retention.

Lead end-to-end credentialing and payer enrollment for multi-state healthcare providers, ensuring NCQA/CMS compliance and maintaining high client retention across multi-year engagements.

Coordinated clinic services and patient flow for rotating providers, trained front desk staff, and improved scheduling and reporting processes. Supported operational efficiency across clinics through staff development and workflow optimization.

Managed full-spectrum billing, coding, and provider credentialing with Medicare, Medicaid, and commercial payers, overseeing charge posting, appeals, and monthly reporting. Ensured timely recredentialing and revenue cycle accuracy.

Managed DME benefits verification, patient financial counseling, and department receivables while producing financial reporting to support collections. Maintained accuracy in benefits determination and patient communication.

Oversaw front desk operations and the full billing cycle including coding and accounts receivable, and provided physician support to improve clinic coordination and revenue capture.

Oversaw front desk operations and the full billing cycle including coding and accounts receivable, supporting physicians and improving clinic billing accuracy. Implemented processes to streamline claims and patient coordination.

Oversaw front desk operations and full billing cycle including coding and accounts receivable, supporting physicians and improving clinic revenue collection.

Provided customer service for member inquiries and claims support, resolving coverage questions and directing issues to appropriate teams. Maintained accurate member records and supported insurer operations.

Maintained provider databases to ensure accurate provider demographics and payer linkages, supporting credentialing and claims processing. Performed data validation and updates to CAQH and NPPES records.

Maintained provider directory data and ensured accurate payer-provider linkages to support network integrity and claims processing.

Managed client accounts and supported provider and payer communications to resolve billing and enrollment issues, maintaining strong client relationships. Coordinated account tasks to support plan operations.