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Chasitie User

@chasitieuser

I streamline provider credentialing, payer enrollment, claims adjudication, and healthcare operations with high accuracy.

United States

Message

What I'm looking for

I'm looking for a healthcare operations role where I can improve provider credentialing, payer enrollment, claims, authorization, or documentation workflows while maintaining quality, compliance, and timely resolution.

I've supported healthcare operations across Sedgwick Claims, Oscar Health, and Celebration Orthopaedics, managing documentation, payer workflows, claims, and provider issues from intake through resolution.

At Oscar Health, I processed and adjudicated high-volume medical claims with 98%+ accuracy while exceeding productivity goals. I investigated denials, appeals, authorization issues, and reimbursement discrepancies using benefit, eligibility, medical necessity, and coding guidelines.

At Celebration Orthopaedics, I supported provider onboarding, credentialing, CAQH profile maintenance, payer enrollment, eligibility, benefits, and prior authorization workflows.

Most recently at Sedgwick Claims, I coordinated time-sensitive healthcare cases, maintained 95%+ documentation accuracy, and partnered with clinical, disability, leave, employer, and compliance teams to resolve complex operational issues.

Experience

Work history, roles, and key accomplishments

ADA Coordinator

Sedgwick Claims

Dec 2024 - Aug 2026 (1 year 8 months)

Managed high-volume healthcare cases from intake through resolution, coordinating documentation, eligibility, compliance requirements, and time-sensitive follow-up. Maintained 95%+ quality and documentation accuracy while reviewing medical, employer, and policy records.

Healthcare Documentation Case Management Eligibility Compliance Quality Assurance Time Management Problem Solving