Healthcare operations professional with more than five years of experience in hospital dispatch, managed care support, and medical administration. Skilled in interpreting healthcare benefits, processing coverage determinations, and resolving claims for Medicare and commercial plans. Experienced in handling very high call volumes, averaging over 10,000 per day, while maintaining accuracy, compliance, and quality service. Knowledgeable in medical billing and coding, including CPT, ICD-10, and DX codes, as well as prior authorization processing and provider remittance review. Recognized for staying calm under pressure, solving problems effectively, and working closely with physicians, providers, and internal teams to deliver accurate and timely results.