Alasandra Ponce
San Antonio,TX
Summary
Healthcare professional with proven track record in managing medical claims processes and ensuring compliance with healthcare regulations. Adept at resolving intricate claims issues and streamlining workflows to enhance efficiency. Valued for collaborative teamwork and results-driven approach, consistently adapting to dynamic environments and delivering quality outcomes.
Overview
15
15
years of professional experience
Work History
Medical Claims Associate
UnitedHealth Group
San Antonio
10.2011 - 05.2025
- Mentored new hires on company policies, procedures, and best practices related to medical claims adjusting.
- Developed training materials for new hires to facilitate onboarding and skill development of Medical Claims Analysts.
- Mitigated risk exposure by adhering to all policies and regulations governing the medical claims examination process.
- Reviewed provider coding information to report services and verify correctness.
- Reviewed and processed medical claims to ensure compliance with company policies and regulations.
Call Center Team Lead
ACS/ Xerox
San Antonio, TX
03.2010 - 11.2011
- Evaluated child support cases to ensure compliance with regulations and policies.
- Facilitated communication between custodial and non-custodial parents to resolve disputes effectively.
- Developed and maintained case files, ensuring accurate documentation of all interactions and updates.
- Provided guidance on child support laws, helping clients understand their rights and obligations.
Education
High School Diploma -
Theodore Roosevelt High School
San Antonio, TX6 2006
Skills
- Customer service
- Critical thinking
- Data entry
- HIPAA compliance awareness
- Claims processing proficiency
- Effective communication
Timeline
Medical Claims Associate
UnitedHealth Group
10.2011 - 05.2025
Call Center Team Lead
ACS/ Xerox
03.2010 - 11.2011
High School Diploma -
Theodore Roosevelt High School