Tamesha Jackson

Adaptable administrative healthcare specialists with proven expertise in credential verifications and compliance auditing. Achieved a 95% on-time start rate for onboarding healthcare providers. Skilled in primary source validation and record management, while fostering strong professional relationships. Committed to maintaining high standards of accuracy and efficiency in all credentialing and auditing activities.

Remote Provider Data Management Specialist at Sutherland Global (2026-03 – Present)

• Accurately enter, update, and maintain provider information for the Medicaid PDS program
• Validate provider credentialing data, contracts, and demographic information to ensure accuracy
• Ensure that provider records comply with CMS, HIPAA, and state and federal regulations
• Conduct routine audits and reconciliations to maintain data integrity
• Review and input the required data into the health plan system according to process guidelines
• Perform Primary Source Verification with stateboards
• Manage and monitor daily activities to meet established targets
• Work independently to complete tasks within set timeframes and with minimal supervision
• Prioritize and fulfill all job responsibilities
• Adapt to changes based on departmental or business needs

Remote Health Plan Credentialing Specialist at Soal Technologies (2025-07 – 2026-02)

• Responsible for the initial credentialing of providers' applications for enrollment for Sanford Health plans
• Proficient with credential verifications for DDS, DMD, MD/DO, NP, PhD, PT, OT, SLP, LMFT, LCSW, OD, PA, LPCC, and RNs
• Perform Primary Source Verifications NSCH, ABMS, AOA, AMA and run NPDB checks through Credentialstream
• Send verification requests to hospitals/schools for residency and fellowship training
• Monitor and manage the expiration of licenses, certifications, and malpractice insurances
• Follow up with providers to obtain any missing documentation needed to complete the credentialing process
• Ensure compliance with healthcare regulations and accrediting bodies
• Maintain accurate records of credentialing activities and status
• Communicate credentialing updates and verification results to management
• Perform audits of every application before presenting to the committee for final approval
• Liaise with external agencies and regulatory bodies regarding provider credentials

Freelance Dental Credentialing Specialist at MiDentista (2021-04 – Present)

• Process payor enrollment applications for dental providers
• Knowledge of dental provider credentialing, re-credentialing, and accreditation principles NQCA/URAC
• Maintain copies of current state licenses, DEA, malpractice, W-9s, and EFT forms
• CAQH provider updates and attestations per request
• Dental Terminology: proficient with PPO, TMHP, Medicaid/Chip Insurance
• Process Texas Medicaid Revalidation application on the TMHP portal upon requests
• Provided exceptional customer service to ensure satisfaction and resolve any concerns or issues
• Process Medical/Chip/PPO/DMO Dental claims
• Process Pre-authorizations for Dental Treatments
• Ensured strict HIPAA compliance in handling patient information and maintaining confidentiality

Remote Medical Staffing Credentialing Specialist at Nomad Health (2021-11 – 2025-03)

• Facilitate provider onboarding paperwork
• Process compliance files per policies
• Maintained an on-time start rate for travel nurses and allied health providers at 95%
• Conduct primary source verifications and sanction exclusion screenings
• Review medical records, processed background checks, drug screens, and occupational health orders
• Assigned the required skills checklist and competency exams
• Strong knowledge of Joint Commission Standards
• Maintained professional working relationships with providers and clients
• Maintained MSP/VMS database systems
• Support and assist the Credentialing function
• Responsible for maintaining the Credentialing inbox and appropriately responding promptly
• Monitored and notified clinicians of upcoming expiration dates of required compliance documents
• Proficient with Zendesk, Slack, and Textline programs
• Operated independently to help the team achieve goals

Remote Live Chat Specialist at Benco Dental (2020-11 – 2021-11)

• Supervised and supported live chat interactions with customers to guarantee dental orders were handled accurately
• Provided excellent customer assistance by actively listening to concerns and addressing problems with dental orders
• Utilized strong communication abilities with my management team to relay information regarding issues or conflicts related to dental orders
• Demonstrated strong problem-solving abilities to tackle issues and improve customer satisfaction
• Offered technical support for software or hardware problems
• Utilized problem-solving techniques to identify and address technical issues efficiently

Dental Instructor/Externship Coordinator at IDTC Career Center (2018-06 – 2020-07)

• Conducted regular job site visits to assess student performance and provide constructive feedback
• Provided specialized career counseling to help students make informed decisions about their future paths
• Collaborated with faculty to develop a curriculum tailored to diverse learners' needs
• Coordinated externship placements to ensure students gained hands-on experience in their field
• Facilitated student placement in internships and entry-level positions within relevant industries
• Established strong industry partnerships to enhance students' access to job opportunities and networking connections

– ATI Career Training Center (2001)