About

I aim to obtain a position at your establishment where I can best use my talent and skills to grow. My combined professional experience within the healthcare industry includes provider enrollment, credentialing, medical billing, coding, quality management, education, and training. My strong computer skill sets have given me the ability to succeed in many departments of the industry.

Skills

  • Administration
  • Healthcare
  • Management
  • Office management
  • MBA (Operations Management)
    9

Recommendations

Maisha Graham

 12/17/2025
Provided a score of  
10
  for Takeia Arkwright

Experience

Takeia Arkwright

Work experience
  • Administrative experience in an office setting; previous release of information, medical records, or other related experience in a
  • healthcare environment is preferred.
  • Proven customer service experience and/or training.
  • Ability to understand and become knowledgeable of Release of Information standards, policies & procedures, and HIPAA regulations
  • Ability to timely correspond to requests for release of protected patient health information by receipt via walk-in,
  • telephone, written, fax, e-mail and referral while ensuring the appropriate information is released.
  • Ability to safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to
  • the patient's medical information
  • Ensure all releases of information are in compliance with the request, authorization, company policy and HIPAA
  • regulations.
  • Ability to execute the timely delivery of requests via fax, e-mail, or certified mail and acquire notarizations as required.
  • Ability to review patient health information/ROI for key components
  • Process requests (in paper and/or electronic format) for medical records and coordinate the release of other types of
  • records that comply with organizational and departmental standards, along with HIPAA regulations.
  • Ability to answer and handle inbound calls according to department standards while providing outstanding customer
  • service.
  • Ability to call and correspond with patients and other department staff via in-person, telephone, email, or fax.
  • Perform other compliance tasks as required
  • Medicare and Managed Care Initiatives Functions
  • Ability to extract data and generate reports in format specified by payer utilizing designated/centralized tools and systems
  • of record.
  • Effectively collaborate with all internal groups to ensure timely and accurate delivery of reports per service level
  • agreements and payer expectations.
  • Apply a payer-focused approach when working through breaks in processes or deliverables and escalate appropriately
  • when needed.
  • Works independently and exercises good judgment when making decisions to resolve inquiries and meet production and
  • turnaround standards.
  • Analyze research and respond to payer inquiries.
  • Process through requests and inquiries with a sense of urgency and purpose while maintaining quality expectations.
  • Ability to adjust to changing priorities and work in a fast-paced environment.
  • Qualified candidate MUST have excellent Excel skills including being able to work with formulas, perform v-lookups,
  • sorting, pivot tables, perform macros, etc.
  • Perform other reporting and support duties as required for payer initiative

Takeia Arkwright

Work experience
  • December, 2023 - December, 2024
  • Fulltime
  • Preparing, negotiating, and reviewing the contract
  • Ensuring compliance and legal requirements
  • Analyzing potential risks
  • Maintaining organized records
  • Acting as a liaison between internal business parties external vendors, and suppliers
  • Providing guidance and management throughout the provider enrollment and credentialing phases
  • Developing processes: Participate in the development of internal credentialing processes.
  • Ensure project/department milestones/goals are met and adhere to approved budgets.
  • Implementing policies: Implement policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system.
  • Processing enrollments: Starting new enrollments with commercial and governmental payors
  • Monitoring enrollment: Ensuring the provider enrollment and re-enrollment process is compliant and timely

Takeia Arkwright

Work experience
  • Process insurance claims for services provided by the companies, ensuring accuracy and compliance with Federal and state laws.
  • Verify provider's and entities' PAR and Non-PAR status for insurance payers.
  • Review documentation to ensure proper coding and adherence to insurance regulations
  • Identify and resolve billing discrepancies or denials promptly.
  • Collaborate with the billing team to ensure efficient and accurate reimbursement.
  • Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing.
  • Coordinate and prepare reports

Takeia Arkwright

Work experience
  • Maintaining a database of employee certifications and renewal dates.
  • Manages the CVO credentialing process for all clinical providers under AAAHC, NCQA, and CMS accreditation standards, and federal and state laws.
  • Coordinates the electronic credentials application's management to ensure distribution, receipt, processing, and timely delivery to the health system entity.
  • Monitors and reports turnaround times for processing credentials applications, with a continued focus on delivery of a high-quality product, with the greatest efficiency, in the least amount of time.
  • Prepares for and coordinates credentialing audits in compliance with the managed care delegated credentialing contracts
  • Performs overall revenue management including satisfying timely filing requirements maximizing billing revenue and collections and resolving denied/rejected claims.
  • Monitors reports to ensure clean claims submission.
  • Monitors monthly aging reports, conduct follow-ups on unpaid claims, and takes appropriate action to correct and re-bill for reimbursement.

Takeia Arkwright

Work experience
  • Serve as a liaison to regional offices troubleshooting any enrollment issues
  • Keep the Billing Services and Systems Supervisor informed at all times of the status of new/revised or pending physician and non-physician provider numbers, effective dates, and plans, to prevent delayed claims filing and cash flows
  • Accurately maintain all internal systems with appropriate provider and network participation information
  • Complete appropriate steps for updating and maintaining Provider Enrollment Databases and to ensure claims are processed timely and accurately
  • May serve as a member of the Management Team or New Practice Acquisition Teams representing Provider Enrollment
  • Develops databases and spreadsheets for tracking organization providers
  • Assist other staff in the resolution of provider enrollment issues
  • Facilitation of state licensing, DEA registration, and liability insurance applications/renewals
  • Review applications for all new providers for assigned regional contracts
  • Follow-up and check the status of applications with payors

Takeia Arkwright

Work experience
  • Receives and reviews submitted applications for completeness and compliance with instructions for preparation; ensures the timely completion of applications by communicating with and assisting the applicants in submitting all documentation necessary to process the application; identifies deficiencies and follows up to gather missing or incomplete data
  • Uses discretion and independent judgment in determining the need for deviation from standard processes or more detailed investigation, including those involving fees, or that would cause processing delays to clarify, verify, and/or confirm the information contained in the credentialing application for high volume clients (100 providers/facilities a day)
  • Processes provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring compliance with required standards

Takeia Arkwright

Work experience
  • Works closely with external Provider Enrollment vendor on notification of a provider's start, and welcome packets,
  • provides documentation, and ensures the provider is in all systems. Performs follow-up with market locations as needed to research and resolve provider enrollment issues.
  • Performs follow-up with insurance payers via phone, email, or website to resolve provider enrollment issues.
  • Manage the completion and submission of provider enrollment applications. Perform tracking and follow-up to ensure provider numbers are established and linked to the appropriate group entity promptly.
  • Understand specific application requirements for each payer including prerequisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations.
  • Maintain documentation and reporting regarding provider enrollments in process. Retain records related to completed provider enrollments.
  • Work closely with program site management and corporate resources to expedite completion of forms and requirements including obtaining signatures, locating required documentation, etc.
  • Establish close working relationships with credentialing coordinators, the contracting department, medical management, and payer contracts.

Takeia Arkwright

Work experience
  • Defining, implementing, and revising operational policies and guidelines for the organization
  • Developing and executing new growth directives
  • Working with the human resources department to create job descriptions, hire competent personnel, and oversee employee training programs
  • Working with the human resources department to develop and implement staff evaluation parameters
  • Liaising with departmental heads to develop financial plans and ensure company-wide operational compliance
  • Keeping track of the company’s revenue margins and conducting budget reviews to maximize profits
  • Overseeing client support services
  • Managing procurement and resource allocation

Related persons

Maisha Graham

 12/17/2025
Provided a score of  
10
  for Takeia Arkwright