Christal Satterfield
Raleigh,NC
Summary
Healthcare operations professional with extensive experience in claims recovery, provider data management, credentialing, prior authorizations, referrals, and payer account implementation. Demonstrated success in high-volume regulated environments, ensuring data accuracy and compliance while resolving complex issues promptly. Recognized for optimizing processes and coordinating cross-functional teams to achieve reliable outcomes across payer, provider, and vendor workflows.
Overview
4
4
years of professional experience
Work History
Claims Recovery Specialist
Oscar Health
Remote
10.2025 - Current
- Manage high-volume recovery queues (200+ cases weekly), prioritizing work based on payer timelines, financial impact, and regulatory requirements.
- Investigate complex payer discrepancies and documentation gaps, triaging high-value cases and coordinating resolution across payer, provider, and internal teams.
- Identify recurring payer workflow issues and collaborate with internal stakeholders to improve processes, reduce repeat errors, and support compliant reimbursement outcomes.
- Apply critical thinking to resolve authorization, eligibility, and provider data issues impacting downstream claims and payments.
Account Implementation Analyst (Contract)
Blue Cross Blue Shield of NC
Remote
08.2025 - 12.2025
- Oversaw post-sale implementation activities for employer group accounts, securing precise benefits eligibility configurations.
- Facilitated coordination with internal teams and external stakeholders to address setup discrepancies promptly.
- Evaluated implementation progress, driving initiatives to improve processes and decrease errors.
Provider Data Representative (Roster & Credentialing)
Oscar Health
Remote
03.2023 - 10.2025
- Resolved complex payer data discrepancies to enhance network participation and improve reimbursement workflows.
- Collaborated with internal teams to streamline onboarding processes, reducing delays in provider eligibility and improving roster accuracy.
- Maintained high-integrity provider records across payer systems, ensuring compliance with credentialing, licensing, and enrollment requirements to support accurate provider participation.
Prior Authorization Coordinator
Oscar Health
Remote
01.2022 - 03.2023
- Coordinated high-volume authorization processing while ensuring documentation accuracy and compliance with payer turnaround expectations.
- Monitored authorization status and triaged denials through collaboration with providers and payers to ensure timely care.
- Acted as subject matter expert for payer-specific prior authorization requirements, interpreting CPT-driven rules.
- Translated payer authorization requirements into documented workflows for consistent processing and issue resolution.
- Created standardized authorization reference materials to improve internal consistency and reduce processing errors.
- Partnered with internal teams to escalate systemic issues and drive continuous improvement in authorization operations.
Patient Referral Coordinator
Teladoc Health
Remote
11.2021 - 03.2023
- Reviewed clinical and insurance documentation to prevent referral delays from payer authorization requirements.
- Coordinated high-volume referral workflows across providers, payers, and internal clinical teams, verifying insurance requirements and authorization criteria.
- Collaborated with providers and payer representatives to resolve discrepancies, ensuring compliant referral processing.
Education
Bachelor of Science - Business Administration
Bennett College
Greensboro, NC05-2009
Skills
- Denial resolution
- Payer portal submissions
- Authorization workflows
- Revenue Cycle Support
- Provider data management
- Data coordination
- Turnaround time management
- Issue triage
- Process improvement
- Excel and Google Workspace
- Epic and Cerner
- Salesforce and Appian
- Jira and SharePoint
- Availity and NexGen
- CTMS and eTMF
- MyChart and Five9
- InContact and Teams
- Slack communication
- Cross-functional collaboration
Timeline
Claims Recovery Specialist
Oscar Health
10.2025 - Current
Account Implementation Analyst (Contract)
Blue Cross Blue Shield of NC
08.2025 - 12.2025
Provider Data Representative (Roster & Credentialing)
Oscar Health
03.2023 - 10.2025
Prior Authorization Coordinator
Oscar Health
01.2022 - 03.2023
Patient Referral Coordinator
Teladoc Health
11.2021 - 03.2023
Bachelor of Science - Business Administration
Bennett College