Paula Allen
Mesa,AZ
Summary
Results-driven clinical support professional with 9+ years of medical assistant experience, including billing, coding and insurance/benefit verification, combined with strong remote customer service skills. Proven ability to handle high-volume calls, manage prior authorizations, navigate complex insurance processes, and provide compassionate service in both in-person and work-from-home settings.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Registered Behavior Technician (RBT)
Rockwood Preparatory Academy
San Tan Valley, USA
02.2023 - Current
- Implement ABA interventions for children, collect and analyze behavioral data, and train new staff.
- Promote client independence in home, school, and clinic settings.
- Experience supports strong documentation skills, data-driven reporting and communication — transferable to clinical service-rep environments.
Clinical Service Representative (WFH) –TeleHealth
Tele Health
Stockton, California
01.2022 - 01.2023
- Handled inbound calls from providers, pharmacies, and members in support of prior authorizations
- Assisted with benefit verification, claims review, documentation of inquiries, and escalations.
- Maintained proficiency with multiple system applications simultaneously, and delivered professional, courteous service in a high-volume call environment.
- Coordinated appointment scheduling for multiple healthcare providers and specialties.
- Provided patient support through telehealth consultations and follow-up calls.
Medical Assistant – Insurance & Benefit Specialist
Central Bariatric Surgery
Stockton, USA
01.2012 - 01.2019
- Assisted surgical and outpatient patients with activities of daily living, vitals, prep, and post-op support while maintaining accuracy and empathy.
- Conducted insurance verification and benefits clarification: reviewed eligibility, explained benefits/co-pays, and communicated with insurers and providers.
- Supported billing and coding operations: posted charges, managed denials, and liaised with the billing department to ensure timely reimbursement.
- Provided clear communication to patients regarding financial responsibilities and planned procedures.
Medical Assistant / Billing & Coding Specialist
Tenet Health
CA, USA
01.2013 - 01.2017
- Served in acute care and ambulatory settings: patient intake, documentation, assisting clinicians, and ensuring a smooth flow of patient care.
- Managed billing and coding for hospital services: ICD-10, CPT coding, claims submission, and follow-up on unpaid balances.
- Conducted insurance benefit clarifications for hospital admissions, worked with case-management teams, resolved claim issues, and verified coverage.
- Assisted healthcare providers with patient examinations and medical procedures.
Education
High School Diploma -
Business Leadership Academy
Stockton, CA05.2014
Skills
- Call center and remote service
- Inbound and outbound inquiries
- Benefit and insurance verification
- Medical claims review and billing
- Coding and eligibility verification
- Patient care and clinical support
- Interdisciplinary team coordination
- Data documentation and EHR management
- CRM system proficiency
- Microsoft Office applications
- Multi-tasking and organization
- Communication and conflict resolution
- Provider and patient collaboration
- Stakeholder collaboration
- HIPAA compliance awareness
- Time management and attention to detail
- Fast-paced environment adaptability
Certification
Medical Assistant
Timeline
Registered Behavior Technician (RBT)
Rockwood Preparatory Academy
02.2023 - Current
Clinical Service Representative (WFH) –TeleHealth
Tele Health
01.2022 - 01.2023
Medical Assistant / Billing & Coding Specialist
Tenet Health
01.2013 - 01.2017
Medical Assistant – Insurance & Benefit Specialist
Central Bariatric Surgery
01.2012 - 01.2019
High School Diploma -
Business Leadership Academy