Healthcare Operations Specialist with 7 Years of U.S. Insurance Experience
- 5 years in Medicare Advantage handling eligibility verification, claims processing, denial management, and appeals
- Strong understanding of the full claims lifecycle — submission, adjudication, payment posting, and follow-up
- Proven ability to reduce claim errors and prevent reimbursement delays
- 2 years of experience in provider onboarding & credentialing for physicians, nurses, and behavioral health providers
- Hands-on expertise with Salesforce, CAQH, PMRS, NPPES, state licensing portals, and Change Healthcare
- Detail-oriented, HIPAA-compliant, and highly organized in fast-paced healthcare environments
If you need a reliable Healthcare VA who understands U.S. insurance and revenue cycle workflows, let’s schedule a quick discussion.
