Andrea Zamora

In my role as a Healthcare Professional at UnitedHealth Group, my primary focus is on assisting members in their journey towards achieving optimal health and wellness. I serve as a dedicated resource to address their inquiries pertaining to plan benefits, claims, and billing. Additionally, I aid in the identification of appropriate healthcare providers and specialists, ensuring the uninterrupted flow of care when required.

My role is characterized by a strong foundation in government operations, with a keen understanding of the complexities associated with Medicare and Medicaid, particularly within the context of a specific state. Building upon this expertise, I transitioned to a parallel role within a different department, specializing in employer insurance group programs, allowing me to continue expanding my knowledge in the healthcare field.

In my role as a Medical Records Specialist, I processed medical records requests in strict compliance with facility, state, and federal regulations. This involved the seamless upload of physician progress notes, history, and physicals into electronic medical records. My effective communication extended to regular interactions with staff, patients, and insurance companies via email and telephone.

Additionally, I maintained a precise log of requests for medical information and records. I assumed a pivotal responsibility as the point person for all incoming and outgoing requests from hospitals, clinics, and various entities, ensuring full adherence to regulatory guidelines. I also undertook the creation of affidavits requested by attorneys and handled deposition questions from records retrieval companies, providing notary services when necessary.

I initiated my journey in networking and marketing, conducting strategic outreach to attorneys’ offices to articulate the comprehensive services provided by our clinic, encompassing physical therapy, trigger point therapy, and spinal decompression. Subsequently, I transitioned into administrative roles with a focus on medical records management and the professional notarization of affidavits for patients who successfully completed therapy. My responsibilities also included patient scheduling and diligent follow-up to ensure adherence to prescribed or recommended treatment protocols.

Professionally, I served as a Compliance Coordinator, overseeing the care and treatment updates for a substantial caseload of over 100 patients. My responsibilities included meticulously monitoring and ensuring patients’ adherence to treatment protocols. I maintained comprehensive patient files and kept attorneys informed about treatment progress.

Subsequently, I transitioned to an integral role in administration as an Accounts Payable Specialist. In this capacity, I consistently produced and delivered detailed financial reports on a weekly basis. My role involved management of all financial transactions, both incoming and outgoing, pertaining to attorneys and various networked facilities, demonstrating strong financial acumen and organizational capabilities.