I am Linda L Dell'Orto, a highly accomplished and detail-oriented healthcare claims professional with extensive experience navigating Veterans Affairs, TRICARE, and Medicaid systems. I specialize in analyzing complex denied claims, identifying discrepancies, and implementing process improvements to ensure accurate, timely reimbursement for healthcare providers and uninterrupted access to care for veterans and their families. I collaborate closely with providers, patients, and insurers to resolve issues, optimize eligibility and authorization workflows, and monitor billing documentation to reduce denials. By turning data into actionable insights, I help organizations streamline claims operations, remain compliant with policies, and improve financial outcomes for healthcare teams.

Linda L Dell'Orto

I am Linda L Dell'Orto, a highly accomplished and detail-oriented healthcare claims professional with extensive experience navigating Veterans Affairs, TRICARE, and Medicaid systems. I specialize in analyzing complex denied claims, identifying discrepancies, and implementing process improvements to ensure accurate, timely reimbursement for healthcare providers and uninterrupted access to care for veterans and their families. I collaborate closely with providers, patients, and insurers to resolve issues, optimize eligibility and authorization workflows, and monitor billing documentation to reduce denials. By turning data into actionable insights, I help organizations streamline claims operations, remain compliant with policies, and improve financial outcomes for healthcare teams.

Available to hire

I am Linda L Dell’Orto, a highly accomplished and detail-oriented healthcare claims professional with extensive experience navigating Veterans Affairs, TRICARE, and Medicaid systems. I specialize in analyzing complex denied claims, identifying discrepancies, and implementing process improvements to ensure accurate, timely reimbursement for healthcare providers and uninterrupted access to care for veterans and their families.

I collaborate closely with providers, patients, and insurers to resolve issues, optimize eligibility and authorization workflows, and monitor billing documentation to reduce denials. By turning data into actionable insights, I help organizations streamline claims operations, remain compliant with policies, and improve financial outcomes for healthcare teams.

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Work Experience

Health Insurance Specialist at GetixHealth
May 22, 2022 - October 28, 2025
Resolved complex healthcare claim denials across TriWest, TRICARE (West, East, Overseas, TRICARE for Life), and VA systems, analyzed billing trends, reviewed authorization requirements, and maintained compliant denial strategies to support veterans and families.
Business Analyst at Agadia Systems
November 1, 2021 - November 1, 2021
Conducted advanced data analysis and generated detailed reports to uncover performance insights, identify trends, and recommend end-to-end process improvements for PA Hub and other products.
Corporate Compliance Manager & Medicaid Appeals Specialist at The Center for Family Support
July 1, 2021 - July 1, 2021
Designed and implemented a Medicaid appeals process, ensured regulatory compliance, and led the clinical appeals with risk mitigation across program areas.
Medicaid Specialist at The Lincoln Park Care Center
June 20, 2019 - June 20, 2019
Oversaw Medicaid documentation and reimbursement processes, contributed to quality improvement initiatives, and supported data-driven patient care optimization.
Regional Medicaid Specialist at Van Dyk Health Care
April 1, 2017 - April 1, 2017
Achieved high Medicaid approval rates by developing eligibility workflows and managing full-cycle applications for 100+ residents across multiple counties.

Education

Bachelor of Arts (B.A.) in Public Relations at University of Southern California
January 11, 2030 - October 28, 2025
Three-Year Study Abroad Liberal Arts Program (Journalism, Political Science, Government, Culture) at Boston University; University of London; L’Universita Per Stranieri di Perugia; USSR Moscow University
January 11, 2030 - October 28, 2025

Qualifications

Certified Assisted Living Administrator (CALA) NJ License
January 11, 2030 - October 1, 2025

Industry Experience

Healthcare, Government, Professional Services