Healthcare Operations Professional with 15+ years of experience in claims, benefits, insurance verification, prior authorizations, enrollment, and behavioral health support. Experienced in working with commercial, Medicare, and Medicaid payers while ensuring accurate documentation, compliance, and efficient workflow management.
Proven leadership experience in operations management, employee performance evaluations, hiring, interviewing, training, and project coordination. Recognized as a Top Team Lead with multiple performance recognitions including Optum PIC Hero 2019, Optum SuperHero Nominee 2021 & 2024, and Bravo Certificates for performance and collaboration.
Skilled in prior authorization processing, claims resolution, benefits analysis, and healthcare administrative operations with strong attention to detail, time management, and organizational skills. Adept at supporting teams in fast-paced healthcare environments while maintaining productivity and service quality.
Technical Skills:
Excel • Microsoft 365 • Google Workspace • Adobe Photoshop • Canva • Payer Portals • Availity • PsykDesk • TherapyNotes • SimplePractice • AdvancedMD • Medicare & Medicaid Portals • Navinet • ClickUp • Slack
