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Kara Evenson

@karaevenson

Licensed insurance producer and healthcare operations specialist, combining 20+ years in payer services, EDI workflows, and client retention.

United States
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What I'm looking for

I’m looking for a role where I can support healthcare payer/clearinghouse EDI workflows and insurance verification while strengthening client relationships to drive revenue, retention, and operational continuity.

I’m a results-driven Licensed Insurance Producer and healthcare professional with 20+ years across healthcare sales, admissions, payer services, and EDI operations. I’m recognized for strong communication, problem-solving, cross-functional collaboration, and client retention.

In payer services, I supported healthcare payer clients through clearinghouse and EDI support for 837, 835, 270/271, and 276/277 transactions, while managing Medicare Crossover operations and coordinating with BCRC. I also handled eligibility membership file exchanges, claims processing workflows, payer onboarding, and contracting documentation using DocuSign.

Across admissions and healthcare business development, I managed admissions operations and revenue-driving referral relationships, verified Medicare/Medicaid/commercial coverage, and coordinated patient transitions. Most recently, I’ve been building client relationships through consultative insurance sales while managing daily operations, compliance, and policy servicing activities.

Experience

Work history, roles, and key accomplishments

SE
Current

Independent Insurance Producer

Self-Employed

Mar 2025 - Present (1 year 4 months)

Sold Life, Accident & Health, and Property & Casualty insurance through consultative client relationships. Managed daily business operations, documentation, compliance, and policy servicing to support client retention and growth.

OH

Payer Services Manager & Support Analyst

Optum / Change Healthcare

Apr 2022 - Feb 2025 (2 years 10 months)

Provided clearinghouse and EDI support for healthcare payer clients, ensuring accurate transaction processing and issue resolution. Managed Medicare crossover operations and payer eligibility/claims workflows, including payer onboarding and contracting via DocuSign.

FH

Director of Admissions

Future Care Health

Dec 2020 - Apr 2022 (1 year 4 months)

Managed admissions and business development for a healthcare rehabilitation facility. Oversaw insurance verification, bed management, electronic referrals and documentation review, and supervised admissions staff to ensure compliant approvals and transitions.

CH

Community Sales Liaison & Trainer

Cadia Healthcare

Apr 2019 - Dec 2020 (1 year 8 months)

Managed hospital relationships and promoted skilled nursing and rehabilitation services across multiple facilities. Conducted on-site assessments, supported insurance pre-authorizations, and delivered sales liaison onboarding and continuing education training.

GH

Director of Admissions

Genesis Healthcare

Jan 2016 - May 2017 (1 year 4 months)

Managed admissions, referral coordination, and business development activities. Developed provider partnerships, facilitated patient transitions, verified insurance benefits, and maintained electronic referral documentation.

Education

Degrees, certifications, and relevant coursework

York College of Pennsylvania logoYP

York College of Pennsylvania

Bachelor of Science, Long Term Care Administration

Activities and societies: Dean’s List; Academic Scholarship Recipient.

Earned a Bachelor of Science in Long Term Care Administration at York College of Pennsylvania.

Tech stack

Software and tools used professionally

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