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Entela Alimema

@entelaalimema

Detail-oriented provider enrollment and customer service professional with strong administrative skills.

United States
Message

What I'm looking for

I am seeking a role in healthcare administration or provider enrollment that values accuracy, process ownership, collaboration, and opportunities to grow operational expertise.

I am a detail-oriented provider enrollment representative with extensive customer service and administrative experience across healthcare and retail environments. I specialize in ensuring providers are accurately enrolled with payers and maintaining compliance in internal systems.

I have a track record of managing documentation, verifying credentials, submitting applications to insurers, and tracking enrollment progress to resolution. My work emphasizes accuracy, timely follow-up, and maintaining up-to-date provider information.

Prior roles in retail management and customer-facing positions honed my leadership, inventory control, and problem-resolution abilities. I bring advanced Microsoft Office skills, strong bilingual communication (English and Albanian), and working proficiency in Italian.

I am committed to contributing reliable administrative support, efficient process management, and excellent stakeholder communication to a team focused on healthcare operations or administrative services.

Experience

Work history, roles, and key accomplishments

WE

Provider Enrollment Representative

Wellsense

Jan 2020 - Jun 2025 (5 years 5 months)

Managed provider registrations with insurers and government programs, collecting and verifying credentials and submitting applications to ensure timely payments and compliance. Tracked application status and maintained accurate provider records, improving enrollment accuracy and renewal readiness.

Walmart logoWA

Personal Shopper

Walmart

Jul 2017 - May 2019 (1 year 10 months)

Managed online order fulfillment by receiving shipments, staging packages, picking customer orders, and coordinating customer pickups while resolving order issues to ensure timely delivery.

AL

Customer Care Agent

Albacall

Feb 2015 - Jun 2016 (1 year 4 months)

Answered client inquiries, determined requirements, researched solutions, and resolved issues through escalation when needed, maintaining service quality and customer satisfaction.

Education

Degrees, certifications, and relevant coursework

Bunker Hill Community College logoBC

Bunker Hill Community College

Health Information Networking

2019 -

Enrolled in Health Information Networking program beginning in January 2019.

IS

ISSAT

Human Resources Management

2010 - 2010

Completed an intensive specialization course in Management of Human Resources in October–November 2010.

University of Tirana logoUT

University of Tirana

University degree, Italian Language and Literature

2001 - 2005

Earned a university degree in Italian Language and Literature from 2001 to 2005.

Tech stack

Software and tools used professionally

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Entela Alimema - Provider Enrollment Representative - Wellsense | Himalayas