With over 8 years in the healthcare revenue cycle, I’ve built a proven track record in claims resolution, insurance overpayment recovery, credit balance investigation, and payer compliance—turning complex processes into efficient, accurate, and compliant outcomes.
From starting as a claims processing agent to becoming a Subject Matter Expert and now an Assistant Manager, I’ve grown my career by solving tough claim challenges, building high-performing teams, and streamlining processes for providers in Arizona, California, and Nevada.
Today, I lead a team that handles high-dollar account resolutions, insurance verification through portals like Availity, NaviNet, and Cigna, and end-to-end claims accuracy—all while ensuring compliance with provider contracts, payer rules, and state regulations.
I’m passionate about coaching, process improvement, and being the go-to person for “getting it right the first time”—whether it’s training new hires, resolving escalations, or introducing smarter workflows.
Always eager to grow, I’m open to opportunities that allow me to make a greater impact in operations, compliance, and analytics within the healthcare space.
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: Less than 6 months
Experience: Less than 6 months
Experience: 5 - 10 years
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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