Healthcare and insurance professional with experience supporting Medicare Advantage and commercial plan members through insurance verification, benefits explanation, prior authorizations, and claims status review. HIPAA-trained with strong knowledge of Protected Health Information (PHI) handling, data privacy, and regulatory compliance. Background includes medical scribing, documentation support, billing coordination, and claims processing. Provided administrative back-office support to Primary Care Physicians and Nurse Practitioners serving patients in nursing homes, assisted living facilities, skilled nursing facilities, and home healthcare settings. Experienced in ICD-10/CPT coding, EOB review, and revenue cycle support. Recognized for accuracy, strong communication skills, and the ability to support both clinical and insurance operations in remote healthcare environments.
Verified
