Martine Joanem

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Provider Enrollment Specialist

The Lactation Network - Remote

Mar 2025 - Apr 2026 (1 year 2 months)

• Managed end-to-end credentialing for a national network of 1,000+ IBCLC providers, ensuring accuracy, compliance, and timely renewals • Conducted primary source verification using CAQH, NPPES, and IBCLC Registry to maintain regulatory compliance and data integrity • Maintained and updated provider records in Salesforce and Excel, ensuring accurate reporting and audit readiness • Provided cross-functional training and support, improving team efficiency and ensuring consistent adherence to deadlines

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Provider Enrollment Specialist

Gainwell Technologies - Remote

Jun 2023 - Jan 2025 (1 year 8 months)

• Verified provider credentials in compliance with NJ Medicaid and CMS regulations, processing 100+ applications daily using CAQH, PECOS, and NPPES • Performed detailed file audits to ensure compliance, accuracy, and readiness for state review • Delivered credentialing outcomes to providers and internal teams while managing high-volume workflows

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Subpoena Unit Processing Clerk

NJM Insurance Group - Remote

Oct 2021 - May 2023 (1 year 8 months)

• Processed subpoena responses and legal documentation in compliance with regulatory and privacy standards • Supported eDiscovery workflows for litigation and legal review • Maintained electronic records using OnBase to ensure timely retrieval and compliance with legal requests

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First Notice of Loss Representative

NJM Insurance Group - Remote

Jan 2020 - Oct 2021 (1 year 10 months)

• Processed 80-100 claims daily in ClaimCenter while maintaining accuracy and compliance with internal protocols • Routed high-volume inbound calls to appropriate departments, improving workflow efficiency • Communicated claim updates clearly to policyholders, enhancing customer experience

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Eligibility Program Assistant

Child Care Connection

Aug 2019 - Jan 2020 (6 months)

• Reviewed and verified subsidy applications for eligibility in compliance with state guidelines • Maintained accurate case records and supporting documentation • Guided families through the application process, clearly communicating eligibility outcomes

Insurance Service Agent

CSAA Insurance Group

Oct 2018 - May 2019 (8 months)

• Assessed and adjusted insurance policies to align with policyholder needs • Recalculated premiums, resolved discrepancies, ensured compliance for accurate, timely renewals • Delivered customer support via phone and email, resolving policy inquiries and processing updates efficiently

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Strategic Accounts Coordinator/Billing Specialist

LifeShield Home Security, LLC

Jun 2014 - Aug 2018 (4 years 3 months)

• Coordinated with municipalities to ensure compliance with alarm regulations and resolve billing issues • Managed Salesforce data and maintained organized documentation to support regulatory adherence and audit readiness • Processed alarm permits, renewals, and invoices while generating Excel reports for billing and compliance tracking

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Health Access Representative

Capital Health System

May 2013 - Jul 2016 (3 years 3 months)

• Registered patients and verified insurance in NaviNet, including Medicaid and Charity Care screenings • Maintained accurate patient records in compliance with regulatory standards • Assisted patients with insurance and billing inquiries, ensuring clear communication and support

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