I bring 14 years of solid experience in the US healthcare industry, working across both insurer and provider settings.
I began my career in 2010 as a Customer Service Representative for Humana and Anthem BCBS, where I handled provider inquiries regarding eligibility, benefits, authorizations and claim statuses. I also assisted in resolving denials and initiating appeals. I spent over two years at UnitedHealth Group as a Recovery/Resolution analyst, managing overpaid claims, communicating resolutions to providers and payers, and ensuring correct application of refunds. I've supported Workers Compensation at Travelers Insurance as a Medical Team Assistant, coordinating with providers to verify appointments, compliance work status, and treatment plans, while maintaining thorough documentation for adjusters and case managers.
Later on, I transitioned to a role more focused on the provider side. I've worked in prior-authorization for a pain management clinic, ensuring approvals for procedures. I've also supported DME operations by verifying prescriptions, supplies and insurance coverage before forwarding orders to billing.
As a Virtual Medical Assistant for a cardiology and primary care physician office, I handled eligibility checks, scheduling, prior-authorizations, appeals, superbill preparation, unpaid bill tracking and credentialing. I even assisted the sleep medicine department with report uploads. Most recently, I worked as a Billing Specialist for a home care agency, managing invoices, timesheets, claims submission, payment posting and appeals - ensuring timely and accurate reimbursement.
My experience allows me to thrive in both administrative and clinical support roles, contributing to efficient healthcare operations.
