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Natasha Jackson

Natasha Jackson

Healthcare operations professional with 10+ years of experience in insurance verification, prior authorization, and claims coordination

Talent
Princeton, NJMember since July 10, 2026
Pre-CertificationInsurance VerificationEOB/CMS-1500 InterpretationClaims Vetting Against Payer Business RulesICD-10-CM/PCS CodingDenial & Appeals SupportEPICNexGenMed ViewIDXSMSNavi NetPassportAvailityMS ExcelMS WordHIPAA RegulationsMedical TerminologyRegulatory DocumentationCase Documentation AccuracyAdvocacyMultidisciplinary CoordinationService Plan DevelopmentConflict Resolution
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Pre-CertificationInsurance VerificationEOB/CMS-1500 InterpretationClaims Vetting Against Payer Business RulesICD-10-CM/PCS Coding

About

Healthcare operations professional with 10+ years of experience across insurance verification, prior authorization, and claims coordination, including Level 1 Trauma registration at the University of Pennsylvania Health System. Skilled in EOB/CMS-1500 interpretation, payer portals (Navi Net, Passport, Availity), and ICD-10 coding, with a proven record of managing high-volume caseloads under strict regulatory and compliance standards. Currently completing a B.S. in Business Administration (Project Management) and a Medical Coding Certificate, and seeking a remote or hybrid Prior Authorization, Benefits Verification, or Revenue Cycle role that puts that experience to full use.

Experience

Education Assistant at School District of Philadelphia (2023-01 – Present)

Manage individualized care and service plans for students with complex medical and behavioral needs, ensuring full compliance with regulatory and documentation standards

  • Coordinate across multidisciplinary teams (clinicians, therapists, families) to document progress and justify continuation of services

Support Coordinator / Program Coordinator at Creative Independence Alliance (2018-01 – 2023-12)

  • Developed individualized service plans and vetted resource allocation requests for clients with disabilities, applying program business rules to determine appropriate levels of care
  • Served as primary advocate liaising between local agencies and healthcare providers to secure and manage authorized services
  • Maintained 100% accuracy in case documentation and regulatory compliance across a high-volume caseload

Patient Service Representative / Registrar, Level 1 Trauma at University of Pennsylvania Health System (2013-01 – 2018-12)

  • Managed patient registration and insurance verification in a high-volume Emergency Department, obtaining pre-certifications and authorizations under time-sensitive conditions
  • Processed and entered ICD codes for trauma patients, ensuring records matched clinical documentation for accurate billing
  • Interpreted complex insurance data to facilitate real-time communication between medical staff and payers

Outpatient Coordinator at St. Christopher's Hospital for Children (2008-01 – 2013-12)

  • Obtained prior authorizations for outpatient visits and coordinated surgical scheduling, managing OR timelines and provider availability
  • Verified insurance eligibility using Promise, Navi Net, and Passport prior to service delivery

Education

Medical Coding Certificate in Medical Coding – Peirce College (2026-08)

Certification in Medical Records & Health Information Management in Medical Billing & Coding – University of Phoenix

Skills

prior authorizationand claims coordination

Reviews