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porshue green

@porshuegreen

I manage delegated credentialing, provider enrollment, compliance, and provider data across multi-state healthcare operations.

United States

Message

What I'm looking for

I'm looking for remote healthcare operations work focused on credentialing, provider enrollment, compliance, provider data management, payer relations, and process improvement.

I manage end-to-end delegated credentialing at Hackensack Meridian Health, verifying licensure, board certification, malpractice, and background checks while supporting compliant provider onboarding.

I maintain provider rosters, submit delegated-entity reports, support audit readiness, and improve processes that strengthen data integrity and reduce processing time. I also collaborate with payer representatives, provider groups, and internal stakeholders and mentor colleagues on credentialing policies and SOPs.

Previously, I managed high-volume credentialing and payer enrollment at Tenet Physician Resources and led credentialing support, compliance reporting, and provider file management at Quest Diagnostics. My background includes NCQA, CMS, state regulatory requirements, HIPAA, PHI protection, and remote healthcare operations.

Experience

Work history, roles, and key accomplishments

Current

Delegated Credentialing Specialist

Current

Hackensack Meridian Health

Dec 2024 - Present (1 year 9 months)

Manage end-to-end delegated credentialing processes for providers in alignment with NCQA, CMS, and state-specific guidelines. Maintain provider rosters, submit reports to delegated entities, and ensure compliance with payer delegation agreements.

Patient Experience Coordinator

Cenegenics

Nov 2022 - Dec 2024 (2 years 1 month)

Maintained accurate patient data ensuring compliance with HIPAA and PHI protection standards. Processed medication orders and managed prescription and nutraceutical workflows.

HIPAA PHI Patient Data Management Medication Request Processing Appointment Scheduling Patient Communication Microsoft Office

Senior Credentialing Specialist

Tenet Physician Resources

Mar 2021 - Nov 2022 (1 year 8 months)

Managed large volumes of credentialing/re-credentialing for multi-specialty providers, ensuring timely payer enrollment and updates. Prepared and submitted Medicare, Medicaid, and commercial insurance applications.

Credentialing Recredentialing Payer Enrollment Medicare Medicaid Commercial Insurance Provider Data File Review Procedure Development Credentialing Committee Microsoft Office

Customer Experience Representative

Sewell BMW Mini

Jan 2022 - Jun 2022 (5 months)

Delivered exemplary customer service while managing inquiries, warranty verifications, and claims coordination.

Customer Service Warranty Verification Claims Coordination Communication Skills

Client Services Supervisor

Quest Diagnostics

Apr 2019 - May 2020 (1 year 1 month)

Supervised credentialing support functions, overseeing provider file management, licensure tracking, and compliance reporting. Directed staff across multiple departments, ensuring service excellence and operational targets.

Supervision Provider File Maintenance Licensing Tracking Compliance Reporting Staff Direction Operational Management

Operations Coordinator

Quest Diagnostics / Ameripath North Texas

Feb 2014 - Apr 2019 (5 years 2 months)

Supported provider credentialing maintenance, licensure renewals, and regulatory documentation (CLIA, CAP). Improved administrative workflows to optimize compliance tracking and reduce credentialing cycle times.

Credentialing Maintenance License Renewal Regulatory Documentation CLIA CAP Workflow Optimization Compliance Tracking