Perla Cardenas
Commerce City
Summary
Administration professional with extensive experience in insurance operations and credentialing management. Proven track record of enhancing operational efficiency across a multi-location network while improving provider relationships through effective bilingual communication. Skilled in developing streamlined workflows that support revenue cycle performance and staff development.
Overview
11
11
years of professional experience
Work History
Insurance & Credentialing Manager
GRiN Pediatric Dentistry & Orthodontics
02.2019 - Current
- Managed insurance operations and provider credentialing across 12 locations and 9 providers, ensuring compliance and operational efficiency.
- Oversaw credentialing, recredentialing, payer enrollment, and compliance documentation to support provider network integrity and regulatory adherence.
- Monitor claims, denials, appeals, and reimbursement processes to support revenue cycle performance.
- Coordinated with providers, office managers, and insurance companies to streamline operations and enhance service delivery.
- Develop streamlined workflows and support staff training across multiple offices.
- Maintain provider records, licensing renewals, and compliance deadlines with high attention to detail.
Store Manager
Sunglass Hut
09.2015 - 02.2019
- Directed daily retail operations, optimizing staffing, scheduling, inventory management, and sales performance.
- Delivered high-level customer service while consistently meeting operational goals.
- Managed conflict resolution, fostering strong customer relationships to improve satisfaction.
- Led employee training and onboarding initiatives, enhancing team development and engagement.
Education
High School Diploma -
John F. Kennedy High School
Denver, COSkills
- Credentialing management
- Compliance Management
- Revenue Cycle Support
- Process Improvement
- Workflow Optimization
- Project Coordination
- Cross-Functional Collaboration
- Team Leadership
- Time Management
- Bilingual: English & Spanish
- Problem Solving
- Customer Relations
- Fast Learner & Adaptability
Timeline
Insurance & Credentialing Manager
GRiN Pediatric Dentistry & Orthodontics
02.2019 - Current
Store Manager
Sunglass Hut
09.2015 - 02.2019
High School Diploma -
John F. Kennedy High School