Vice President of TPA Operations of Provider Network Solutions
Vista Health Plans, Senior Claims Director
Independent Living Systems, Vice President of Claims and Credentialing
Simply HealthCare Plan, Clear Health Alliance, and Better Health Plan, Senior Director of Claims
Concordia Behavior Health, Vice President of Operations
Myrna Betancourt, Vice President of TPA Operations for PNS, enjoys 32 years of experience in managed healthcare organizations. She is considered a trailblazer for her extensive knowledge and leadership in the management of the Medicare, Medicaid, Commercial, PPO, and POS lines.
Myrna has been responsible for developing and managing the daily operations for the Claims, Provider Configuration, Benefit Configuration, Provider Credentialing, and Appeals & Denials Departments throughout her career.
Myrna’s working proficiency in claims processing policies and procedures, cost containment activities, CB, TPL and WC, claims audit, quality control, and provider contract databases add measurable value to PNS clients.