Vanessa Chalk
Charlotte,NC
Summary
Highly detail-oriented with strong background in eligibility determination, documentation review, and regulatory compliance. Possesses robust skills in data analysis, case management, and customer service, ensuring accurate and timely processing of applications. Demonstrates conscientious approach to work, maintaining high standards of accuracy and efficiency. Brings comprehensive knowledge and skills suited for role of Eligibility Specialist.
Overview
15
15
years of professional experience
Work History
HEALTHCARE BENEFITS/ELIGIBILITY SPECIALIST
Change Healthcare
Charlotte, NC
11.2015 - 08.2025
- Managed end-to-end eligibility and benefits workflows for government healthcare programs including Medicaid, Medicare, and Social Security.
- Reviewed, verified, and processed patient eligibility information in compliance with HIPAA and federal/state regulations.
- Coordinated with internal teams, payers, and external agencies to resolve eligibility issues, denials, and coverage gaps.
- Maintained detailed case documentation and updates across multiple systems to support audits, reporting, and quality standards.
- Handled high-volume caseloads while meeting productivity, accuracy, and turnaround metrics in a fully remote enterprise environment.
- Identified and escalated complex cases to prevent delays or loss of patient coverage.
OFFICE MANAGER RHEMATOLOGY
Joints & Muscles Medical
Charlotte, NC
02.2011 - 11.2015
- Supervised a team of 8 staff members, improving office efficiency and reducing scheduling errors by 30%.
- Oversaw patient scheduling, insurance verification, referrals, and authorizations, ensuring seamless care delivery.
- Developed and maintained office policies to ensure HIPAA compliance and regulatory adherence.
- Identified and corrected billing errors in IV infusion accounts, re-billing accounts and increasing practice revenue by 15%.
- Implemented process improvements that enhanced patient satisfaction and reduced administrative bottlenecks.
Education
ASSOCIATE'S DEGREE - HEALTHCARE ADMINISTRATION
Strayer University
NCSkills
- Microsoft office
- Data entry
- Benefits enrollment processing
- Recordkeeping and documentation
- Attention to detail
- Time management
- Multitasking
- Understanding of Health Insurance Portability and Accountability Act (HIPAA)
- Regulatory compliance
- Confidentiality practices
- Policy interpretation
Timeline
HEALTHCARE BENEFITS/ELIGIBILITY SPECIALIST
Change Healthcare
11.2015 - 08.2025
OFFICE MANAGER RHEMATOLOGY
Joints & Muscles Medical
02.2011 - 11.2015
ASSOCIATE'S DEGREE - HEALTHCARE ADMINISTRATION
Strayer University