I support healthcare organizations in running leaner, more compliant, and more patient-friendly operations — remotely and on-demand.
With 3+ years in U.S. health insurance (Blue Cross Blue Shield of Michigan, Blue Care Network, and Wellcare), I've supervised teams of 25+ CSRs, managed end-to-end claims processing, and maintained compliance with ICD-9/10, CPT, and HIPAA standards throughout. My background is rooted in the back office of healthcare — the part that keeps claims accurate, patients informed, and cash flow steady.
Core strengths:
•Medical billing, claims processing, and denial/appeals management
•Insurance eligibility verification and benefits coordination (Medical, Dental, Vision, Hearing, Rx)
•Payment posting, reconciliation, and cash flow support
•Strict HIPAA compliance and confidentiality handling
•Workflow optimization that reduced claim denial rates by 15%
•Administrative and communication support shaped by real operations leadership, not just basic admin work
I've served as a subject matter expert training and coaching CSRs, coordinated staffing across multiple insurance lines during peak billing cycles, and consistently delivered audit-ready documentation under pressure. That same precision carries into remote support work — managing provider correspondence, processing claims, verifying eligibility, and keeping a healthcare practice's operations running smoothly.
