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

