Julie Huggins

I’m a strategic, results-driven Operations Manager with 15+ years of progressive experience in claims processing, provider services, and healthcare administration. I lead multifunctional teams in Medicare, Medicaid, and Marketplace environments, with a focus on operational excellence, SLA performance, and compliance.

Since May 2021, I’ve managed high-volume claims processing and customer service operations for the Veterans Affairs Community Care Network at PGBA / VA CCN – BlueCross BlueShield of SC. I coordinate system migrations and automation enhancements, analyze performance data, run audits, and implement corrective actions—reducing claim reprocessing by 20% through targeted staff training and process optimization, and achieving 98%+ accuracy in escalated claim resolution.

Earlier, as a LeAD cREDENTIALING COORDINATOR at Practice Management Group, I directed end-to-end credentialing across multiple healthcare facilities. I led provider contract negotiation, EFT/EDI setup, and compliance documentation, and I implemented new credentialing workflows that improved turnaround time by 30%, serving as a liaison with payers and regulatory bodies.

I also bring compliance audit experience from JPMorgan Chase, where I conducted complex audits and quality control reviews, responded to regulatory agency requests, and validated audit findings by isolating and analyzing data sets across multiple systems. With a B.S. in Biology and a strong commitment to healthcare equity, mentorship, and detail-oriented improvement, I bring both analytical rigor and people-first leadership.