Vaniza Sarwar

Directed end-to-end Revenue Cycle Management (RCM) workflows, including accurate claim submissions, payment postings, and proactive accounts receivable (AR) management. Spearheaded provider credentialing and enrollment processes, maintaining meticulous data compliance and up-to-date provider profiles across major commercial and government payers. Executed aggressive denial management and systematic insurance follow-ups, successfully optimizing cash flow and accelerating practice reimbursement timelines.

Credentialing Coordinator & RCM Assistant at Crimson Heights LLC (2024-01 – 2026-12)

• Directed end-to-end Revenue Cycle Management (RCM) workflows, including accurate claim submissions, payment postings, and proactive accounts receivable (AR) management.
• Spearheaded provider credentialing and enrollment processes, maintaining meticulous data compliance and up-to-date provider profiles across major commercial and government payers.
• Executed aggressive denial management and systematic insurance follow-ups, successfully optimizing cash flow and accelerating practice reimbursement timelines.
• Secured complex insurance prior authorizations and conducted thorough verification of benefits (VOB) to protect practice revenue and minimize billing friction.
• Collaborated cross-functionally with billing, clinical, and administrative teams to ensure strict compliance with healthcare regulations and support strategic practice growth.

Credentialing Assistant at AmericPrime (2023-04 – 2024-05)

• Managed end-to-end medical credentialing and provider enrollment workflows, facilitating timely insurance network participation and reducing onboarding delays.
• Successfully coordinated with major commercial and government health insurance payers to track application statuses and resolve roster discrepancies.
• Maintained meticulous provider profiles, managing CAQH updates, primary source verifications, and linking individual providers to Group Tax IDs.
• Collaborated closely with the revenue cycle management team to align credentialing statuses with medical billing, minimizing claims denials related to enrollment.
• Handled CPT coding reviews, insurance verifications, and prior authorization requests to ensure seamless, compliant billing processes.

Authorization & VOB Specialist at AmericPrime (2022-03 – 2024-02)

• Conducted comprehensive Verification of Benefits (VOB) and secured necessary prior authorizations for complex medical procedures, ensuring accurate coverage assessments.
• Acted as a primary liaison between healthcare providers, insurance companies, and patient accounts to clarify insurance benefits and minimize financial friction.
• Demonstrated strict adherence to U.S. health regulations, maintaining complete confidentiality and data integrity in compliance with HIPAA standards.
• Managed enrollment workflows and utilized Google Workspace and Microsoft Office to track operational metrics, present updates, and train incoming team members.

Content Writer at Freelance / Contract (2021-01 – 2022-12)

• Developed and executed data-driven content strategies aligned with corporate branding guidelines and broader digital marketing objectives.
• Produced engaging, highly researched, and audience-targeted technical, medical, and commercial content across multiple digital platforms.
• Maintained rigorous editorial standards, meticulously editing and proofreading all copy for factual accuracy, absolute clarity, and strict style guide adherence.
• Collaborated closely with cross-functional creative teams, including marketing strategists and graphic designers, while owning the content calendar to ensure flawless project delivery.

Head of Science Department at Savvy International School System (2018-01 – 2020-12)

• Promoted to Head of the Science Department following demonstrated success as a Biology and Chemistry educator for high school classes (9th & 10th grade).
• Oversaw departmental performance, established curriculum benchmarks, and provided strategic leadership to teaching faculty to improve overall academic standards.
• Managed talent acquisition for the department, directly spearheading the screening, recruitment, and onboarding of incoming instructional staff.

Special Education Educator at Bright Heads School for Special Children (2016-01 – 2017-12)

• Initiated professional teaching career by designing and delivering specialized curricula for differently-abled children, focusing on General Life Skills, Social Studies, and Basic Sciences.
• Cultivated an inclusive, highly supportive, and structured learning environment tailored to meet individual student developmental needs and behavioral goals.
• Partnered with families and multidisciplinary teams to track, evaluate, and support individual student progress and personal growth.

Quality Assurance & Transcription Analyst at Campus 92 (2015-01 – 2016-12)

• Evaluated, categorized, and audited recorded interactions for U.S.-based automotive dealerships to ensure strict compliance with quality assurance protocols.
• Delivered highly accurate, detailed call transcriptions and analytical reporting to help businesses optimize communication strategies and customer service standards.
• Developed deep familiarity with North American professional communication standards, corporate workflows, and data accuracy requirements.

Master's in Data Science – SZABIST Islamabad (2024-01)

Bachelor's in Social Science – National University of Modern Languages, Islamabad (2023-01 – 2023-12)

HSSC in Pre-medical – DEGREE COLLEGE FOR WOMEN IB (2017-01 – 2017-12)

SSC in Grade A – EDUCATORS SCHOOL (2015-01 – 2015-12)