Natalia Fredrick
DeSoto
Summary
Results-driven Healthcare Processing and Client Support Specialist with extensive experience in medical records management, insurance claims adjudication, and patient data confidentiality. Proficient in HIPAA compliance, electronic health record (EHR) systems, and high-volume data processing. Adept at providing empathetic patient communication, resolving escalated inquiries, and streamlining workflows to support both clinical and administrative teams. Seeking a remote medical processing or healthcare client services position with opportunities for advancement and competitive compensation.
Overview
13
13
years of professional experience
3
3
Certifications
Work History
Medical Records & Claims Processing Specialist
UnitedHealth Group
01.2019 - Current
- Processed and adjudicated medical claims, ensuring compliance with CMS guidelines and payer policies.
- Verified patient insurance coverage, eligibility, and authorizations with 99% accuracy.
- Reviewed and entered data into Epic and proprietary claims systems, maintaining stringent HIPAA privacy standards.
- Partnered with providers and patients to resolve billing discrepancies and accelerate reimbursement cycles.
- Maintained up-to-date knowledge of industry regulations, ensuring accurate and compliant claims processing.
- Coordinated with other departments such as finance and coding teams to resolve any issues related to payment calculations or coding errors in submitted claims.
Customer Experience & Patient Support Associate
Continuum
01.2016 - 01.2019
- Delivered high-quality support for healthcare and insurance clients, handling inbound/outbound calls and digital inquiries.
- Educated patients and members on benefits, billing, and coverage options, ensuring first-contact resolution.
- Documented patient interactions in CRM/EHR systems, maintaining thorough case notes and compliance accuracy.
- Consistently exceeded KPIs including patient satisfaction scores, call quality audits, and resolution timeframes.
- Maintained accurate patient records by diligently updating electronic health systems.
- Demonstrated empathy towards diverse cultural backgrounds when addressing specific needs/concerns from different ethnic groups.
Administrative Processing Coordinator
Cigna Health
01.2013 - 01.2016
- Processed patient applications, enrollment forms, and confidential documentation within strict compliance timelines.
- Supported claims intake, benefits verification, and provider credentialing workflows.
- Coordinated between departments to enhance operational efficiency in medical documentation and claims submission.
- Implemented quality control procedures, reducing administrative errors by 20%.
- Collaborated with colleagues on process improvement initiatives that increased accuracy while reducing processing timeframes.
- Implemented inventory control systems that reduced stock discrepancies and ensured accurate tracking of materials.
Education
High School Diploma -
New Beginnings Prep
Dallas, TX06-2013
Skills
- Electronic Health Records (EHR)
- Practice Management Systems
- Claims Processing
- Insurance Eligibility Verification
- Patient Intake
- Medical Documentation Review
- HIPAA
- Regulatory Compliance Administration
- Remote Client Engagement
Data entry proficiency
Verbal communication
Research
Medical terminology
Certification
HIPAA Certification
Timeline
Medical Records & Claims Processing Specialist
UnitedHealth Group
01.2019 - Current
Customer Experience & Patient Support Associate
Continuum
01.2016 - 01.2019
Administrative Processing Coordinator
Cigna Health
01.2013 - 01.2016
High School Diploma -
New Beginnings Prep
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