
Dynamic and compassionate professional with a strong background in healthcare benefits administration, client services, and business-to-business support. Proven ability to resolve complex member issues, manage confidential data, and deliver exceptional service in both healthcare and retail environments. Skilled in cross-functional collaboration, multitasking, and improving operational workflows. Recognized for empathy, attention to detail, and strong communication skills in high-volume, fast-paced settings.
• Conducted evaluations and coordinated return-to-work plans with physicians and employers.
• Supported job accommodation and case management processes in compliance with company and state regulations.
• Collaborated with medical providers, employers, and claims teams to facilitate employee recovery and return-to-work outcomes.
• Maintained accurate case documentation, data reporting, and claim updates in management systems.
• Ensured quality and consistency in case handling through adherence to established standards.
• Managed end-to-end credentialing and onboarding, submitting provider packets to carriers and ensuring compliance.
• Served as liaison between facilities and insurers, resolving contract and billing issues promptly.
• Supported hospitals and clinics via high-volume inbound calls on authorizations, reimbursements, and care plans.
• Coordinated onboarding logistics, system access, and scheduling for new hires.
• Maintained HIPAA compliance while managing sensitive medical and insurance data.