I help healthcare organizations keep their revenue cycle clean and moving — accurate claims adjudication, faster denial resolution, and airtight credit balance/recovery work. With 4+ years of hands-on RCM experience, including training and tenure at Optum, I bring both speed and accuracy to high-volume claims environments.
What I do best:
Clinical claims processing & adjudication (professional and institutional claims)
Denials management and resolution
Credit balance identification and recovery/resolutions
EOB/EOR review and claims accuracy audits
HIPAA-compliant handling of PHI and claims data
Clear, professional communication for US-based healthcare teams
Background: Currently a Claims Adjudicator at Strategic Staffing Solutions. Previously at Optum for 3+ years — first as a Credit Balance/Recovery-Resolutions Representative, then promoted to Subject Matter Expert. Also bring prior experience in customer-facing chat and voice support (banking chat support, Uber customer service), so I'm comfortable across both back-office processing and direct client communication.
Available for full-time or part-time direct-hire roles. Reliable internet, dedicated home workspace, and strong overlap with US business hours.
Employment history bullets
Claims Adjudicator / Clinical Claims Processor — Strategic Staffing Solutions (Nov 2025–Present)
Adjudicate clinical claims for accuracy, medical necessity, and compliance with payer guidelines
Process high volumes of claims daily while maintaining quality and turnaround standards
Subject Matter Expert — Optum (Jun 2024–Oct 2025)
Served as go-to resource for claims/RCM process questions across the team
Supported quality and training initiatives to improve team accuracy and throughput
Credit Balance / Recovery-Resolutions Representative — Optum (Apr 2021–Jun 2024)
Identified and resolved credit balance accounts, ensuring accurate refunds and recoveries
Investigated overpayments and coordinated resolutions in line with payer and compliance requirements
Verified