VERONICA STEWART
Summary
Claims and healthcare operations professional with hands-on experience processing insurance claims, verifying eligibility, reviewing documentation, and supporting enrollment and benefits administration. Proven ability to manage high-volume workloads while maintaining accuracy, regulatory compliance, and strong attention to detail in fast-paced, regulated environments.
Overview
8
8
years of professional experience
Work History
Claims Analyst II
Principal Financial Group
05.2025 - Current
- Analyzed and processed insurance claims per plan provisions, regulatory requirements, and internal policies, ensuring compliance and accuracy
- Reviewed claim documentation for accuracy and eligibility, interpreted benefits while maintaining HIPAA compliance, enhancing data integrity
- Investigate claim discrepancies, denied claims, and coverage issues to support timely and accurate resolution
- Documented claim determinations and updates in claims processing systems, facilitating audits and improving reporting accuracy
- Consistently meet quality, accuracy, and productivity benchmarks
Enrollment Coordinator
Bicycle Health
03.2022 - 05.2025
- Educated patients on treatment programs and enrollment requirements, guiding them through next steps in care
- Conducted phone intakes to collect patient demographics and goals, determining eligibility for treatment
- Verified insurance coverage and explained benefits while scheduling appointments based on provider availability
- Maintained accurate documentation while adhering to HIPAA and organizational standards
Medical Record Retrieval Specialist
Cotiviti
01.2019 - 02.2022
- Retrieved medical records from healthcare providers and facilities to ensure compliance during audits and reviews
- Reviewed records for completeness and accuracy, ensuring adherence to healthcare regulations
- Flagged and followed up on missing or inconsistent documentation to resolve discrepancies
- Maintained organized logs and tracking systems for medical record requests
- Supported quality assurance initiatives and audit readiness efforts
Behavioral Health Customer Service Representative
Adecco Staffing
11.2017 - 12.2018
- Guided members through behavioral health benefits, eligibility inquiries, and referral requests to enhance access to care
- Triaged calls to departments, ensuring timely resolution and continuity of care for members
- Facilitated benefit verification, authorizations, and inquiries for providers to streamline service delivery
Education
High School Diploma -
Harold S. Vincent High School
Milwaukee, WISome Coursework Completed
Concordia Wisconsin University
Mequon, WISkills
- Claims Processing
- Eligibility Verification
- Insurance Benefits
- HIPAA Compliance
- Medical Records Management
- Enrollment & Intake
- Data Analysis
- Quality Assurance
- Attention to detail
- Problem solving
- Effective communication
- Conflict resolution
Timeline
Claims Analyst II
Principal Financial Group
05.2025 - Current
Enrollment Coordinator
Bicycle Health
03.2022 - 05.2025
Medical Record Retrieval Specialist
Cotiviti
01.2019 - 02.2022
Behavioral Health Customer Service Representative
Adecco Staffing
11.2017 - 12.2018
High School Diploma -
Harold S. Vincent High School
Some Coursework Completed
Concordia Wisconsin University