Detail-oriented and results-driven healthcare operations professional with strong expertise in claims follow-up, provider enrollment, and payer compliance. Skilled in researching and resolving claim denials, navigating payer portals, and securing timely reimbursement through proactive follow-up and appeals. Experienced in managing end-to-end provider enrollment processes, including credentialing, revalidation, and payer application submissions to ensure accuracy, compliance, and uninterrupted provider participation.
Known for excellent communication, analytical ability, and a strong understanding of payer policies, billing procedures, and revenue cycle workflows. With productive relationships with insurance representatives, providers, and internal teams to streamline processes and reduce administrative delays. Dedicated to improving operational efficiency, minimizing claim aging, and supporting seamless provider onboarding.
Verified
