Barbara Mateeka

Dedicated and detail-oriented Credentialing Analyst with over 6 years of experience in healthcare credentialing, provider enrollment, privileging, licensing, and regulatory compliance. Proven expertise in managing high-volume provider credentialing processes, conducting primary source verification, and maintaining compliance with NCQA, CMS, HIPAA, and Joint Commission standards. Strong background in provider data management, audit readiness, and multi-state credentialing operations.

Recognized for accuracy, organization, and the ability to streamline workflows while maintaining confidentiality and compliance.

Credentialing Analyst – Hospital Privileging - MedStar Health

(2026-02)

• Maintain and manage applicant information within complex credentialing databases for medical staff and affiliated healthcare entities.
• Coordinate credentialing and primary source verification processes in compliance with organizational, federal, state, and accrediting agency standards.
• Serve as a liaison between affiliated hospitals and medical staff to facilitate credentialing and privileging activities.
• Track initial and recredentialing applications from submission through approval and committee review processes.
• Conduct primary source verifications for all credentialing and recredentialing applications according to established workflows and policies.
• Investigate discrepancies, missing documentation, and verification issues while ensuring timely resolution within established credentialing timelines.
• Import and standardize application data from online credentialing portals in accordance with CVO policies.
• Maintain knowledge of credentialing standards and accreditation requirements related to Joint Commission and NCQA compliance.

Senior Payer Credentialing Specialist - Oak Street Health

(2021-01 - 2026-02)

• Managed provider enrollment and credentialing processes with insurance payers while ensuring compliance with payer requirements and deadlines.
• Processed initial credentialing and recredentialing applications for more than 100 providers across multiple practices and states.
• Reviewed and analyzed credentialing applications to ensure completeness, accuracy, and regulatory compliance.
• Obtained and verified information from the National Practitioner Data Bank (NPDB), malpractice insurers, and additional credentialing sources.
• Maintained confidential provider data across multiple credentialing databases including CredentialStream, CAQH, PECOS, and NPPES.
• Monitored provider licensure, board certifications, malpractice insurance, and CMS enrollments to ensure continuous compliance.
• Performed primary and secondary source verifications according to organizational policies and credentialing standards.
• Streamlined provider documentation and credentialing workflows to improve operational efficiency.

Licensing & Credentialing Specialist - Beebe Healthcare

(2017-05 - 2020-11)

• Tracked provider license and certification expirations to ensure timely renewals and uninterrupted compliance.
• Processed DEA/CDS controlled substance registrations and state license renewals according to state and federal regulations.
• Monitored provider application statuses and resolved credentialing and licensing issues through direct follow-up with providers and licensing boards.
• Coordinated with providers, leadership teams, and credentialing vendors to complete licensing and credentialing requirements.
• Maintained provider records including state licenses, DEA certificates, malpractice coverage, and credentialing documentation.
• Completed provider credentialing and recredentialing applications within established state guidelines and timelines.
• Escalated licensing and credentialing issues to management when necessary to prevent delays in provider onboarding.
• Managed provider information within credentialing databases and online systems.

Provider Enrollment & Credentialing Specialist (Contract) - RLDatix

(2016-01 - 2017-04)

• Maintained provider enrollment and credentialing files for physicians and licensed healthcare providers.
• Collaborated with providers to obtain credentialing documentation and EMR access.
• Supported payer delegated audits and presented findings to the credentialing committee.
• Tracked credentialing applications throughout the full enrollment lifecycle to ensure timely payer approvals.
• Audited credentialing applications for accuracy, completeness, and compliance.
• Monitored CME requirements and provided quarterly updates to providers.
• Maintained confidential provider information across multiple credentialing databases while improving workflow efficiency.

Bachelor's Degree - Business Administration - Schiller International University (1998-09 - 2000-05)

Bachelor of Arts - West London College (1996-01 - 1998-07)