SADAF ARIEL ERFAN
Houston
Summary
Compassionate and dedicated healthcare professional with strong experience in patient care, insurance verification, revenue cycle support, and workflow optimization. Skilled in enhancing operational efficiency, supporting providers and patients, and ensuring accurate and compliant claim processing. Recognized as an EPIC Super User with the ability to quickly learn new procedures, support teams, and coach providers. Maintains professionalism and a positive attitude in high-volume, fast-paced environments while delivering excellent service.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Managed Care Representative II
Kelsey-Seybold Medical Group
Houston, TX
02.2024 - Current
- Serve as concierge support for healthcare providers, addressing inquiries regarding claim status, processing accuracy, and appeal procedures.
- Perform benefit and eligibility verification across multiple insurance plans, ensuring providers receive accurate guidance.
- Utilize CPT knowledge to support precise and efficient provider communication.
- Review and validate patient charges, reducing errors and supporting revenue integrity.
- Generate reports and identify trends, gaps, and process improvement opportunities.
- Identify and correct missed charge opportunities to ensure accurate billing.
- Ensure compliance with insurance policies, coding regulations, and hospital billing guidelines.
- Collaborate cross-functionally with billing, coding, and clinical teams to improve charge integrity and financial accuracy.
ASR II
Kelsey-Seybold Clinic
Houston, TX
10.2021 - 01.2024
- Accurately processed and verified patient insurance information.
- Managed patient payment collections for visits, procedures, and treatments; generated transparent cost estimates.
- Explained insurance plans (HMO, PPO) to over 500 patients weekly, ensuring understanding of benefits and coverage.
- Coordinated with healthcare providers and clinic staff to address patient and provider inquiries.
- Recognized as an EPIC Super User for expert-level knowledge and workflow support.
- Reviewed and validated patient charges to prevent errors and support revenue optimization.
- Worked closely with physicians, nurses, and coders to resolve discrepancies and enhance charge capture.
- Supported operational workflows through work queue management and provider assistance.
Pharmacy Technician Trainee
CVS Pharmacy (#5685)
Houston, TX
01.2019 - 10.2021
- Assisted in COVID-19 and flu testing using EPIC system workflows.
- Ensured compliant medication storage and maintained accurate controlled substance documentation.
- Resolved third-party billing issues and insurance system errors.
- Supported patients with prescription questions and medication instructions.
- Coordinated with pharmacists on consultations and prescription problem resolution.
- Identified and corrected missed charges while assisting in improving documentation accuracy.
- Collaborated with healthcare staff to improve charge capture and workflow efficiency.
Sales Associate Manager
CVS Pharmacy (#5685)
Houston, TX
11.2017 - 01.2019
- Prepared merchandise for the sales floor, including tagging, pricing, and organizing inventory.
- Assisted over 200 customers monthly with product location and availability inquiries.
- Processed high-volume POS transactions accurately and efficiently.
- Supported sales forecasting and budgeting through accurate data input.
- Utilized billing systems such as Epic and Meditech for charge tracking and auditing.
- Ensured compliance with insurance rules and billing regulations within pharmacy operations.
Education
High School Diploma -
Associate of Science - Biology/Health Sciences
Houston Community College
Central Campus12-2024
Skills
- EPIC Super User (clinical & pharmacy workflows)
- Patient care support & insurance verification
- Revenue cycle support & charge review
- CPT knowledge & insurance eligibility verification
- Process improvement & operational optimization
- High-volume call management & customer service
- Data entry (60 WPM, 99% accuracy)
- Microsoft Office (Advanced), such as Word, Excel, Outlook
- Provider education & professional communication
- Adaptability to new procedures and workflows
- Customer service & patient relations
- Strong communication, multi-tasking, and customer service abilities
- High accuracy in data entry, documentation, and electronic record systems
Certification
- Certified Pharmacy Technician (CPhT) – Pharmacy Technician Certification Board PTCB # 30305087
- Certified Pharmacy Technician – Texas State Board of Pharmacy #312621
Timeline
Managed Care Representative II
Kelsey-Seybold Medical Group
02.2024 - Current
ASR II
Kelsey-Seybold Clinic
10.2021 - 01.2024
Pharmacy Technician Trainee
CVS Pharmacy (#5685)
01.2019 - 10.2021
Sales Associate Manager
CVS Pharmacy (#5685)
11.2017 - 01.2019
Associate of Science - Biology/Health Sciences
Houston Community College