Linda Ware

Positive, motivated, and detail-oriented healthcare professional with experience in credentialing, provider enrollment, recredentialing, and healthcare administration. Skilled in managing high-volume credentialing workflows, verifying provider credentials, maintaining accurate records, monitoring expirables, and communicating with providers, payors, facilities, and pharmacies. Highly organized, adaptable, and proficient in Microsoft Office and credentialing-related systems.

Known for accuracy, professionalism, strong follow-through, and the ability to learn new processes quickly.

Credentialing Administrator - Community Medical Services - Scottsdale, AZ

(2025-02 - 2025-09)

• Managed end-to-end credentialing and recredentialing for a caseload of 50–70 healthcare providers and facilities.
• Reviewed, verified, and validated credentialing documentation for accuracy, completeness, and compliance.
• Performed primary source verification of education, licensure, certifications, work history, malpractice claims, and background checks.
• Maintained accurate credentialing records, tracking logs, and provider information within internal systems and databases.
• Monitored credentialing timelines and ensured activities were completed within established deadlines.
• Responded to provider and pharmacy inquiries and resolved credentialing issues through phone, email, and fax.
• Maintained a high level of data-entry accuracy while managing a substantial volume of credentialing records.
• Prepared clear, concise, and professional written correspondence and documentation.
• Used Adobe Acrobat Pro, Qualtrics, Phloot, Microsoft Access, Excel, Outlook, and Word to manage documentation and workflows.
• Followed organizational policies, procedures, and applicable industry standards.

Provider Enrollment Specialist - American Vision Partners - Phoenix, AZ

(2021-11 - 2023-02)

• Prepared and submitted initial and recredentialing applications for medical and vision providers.
• Maintained provider CAQH profiles, including quarterly re-attestations and updates.
• Verified provider enrollment with Medicare, Medicaid, AHCCCS, and commercial payors.
• Reviewed paper and electronic provider applications to ensure accuracy and completeness.
• Monitored provider expirables, including professional licenses, DEA registrations, board certifications, and malpractice insurance.
• Maintained detailed tracking logs documenting credentialing and enrollment status.
• Communicated directly with payors, facilities, and providers to resolve credentialing and enrollment issues.
• Prepared credentialing files and supporting documentation for Credentialing Committee review.
• Managed multiple provider files and deadlines while maintaining accurate records and documentation.

Upper Secondary Education - Accelerated Course - Salvation Army (1997-02 - 1997-06)