Provider Service Advocate/ Recovery Specialist

Overview

Looking for full-time work (8 hours/day)

at $4.95/hour ($960.00/month)

Bachelors degree

Last Active

July 13th, 2026 (10 days ago)

Member Since

January 13th, 2024

Profile Description

Experienced healthcare support professional with over 7 years of success in provider services, prior authorization, insurance verification, claims denial management and virtual healthcare operations. Skilled in EMR/EHR systems, patient coordination, claims management, and HIPAA-compliant communication. Proven ability to work independently in virtual settings, providing high-quality support to physicians and medical practices.

Professional Experience:
* Medical Claims Analyst | Accounts Receivable Follow-Up
- Manage hospital billing, overseeing claims processing, payment posting, and revenue cycle management (RCM).
- Conduct follow-ups with insurance payers to determine claim statuses, resolve denials, and verify eligibility.
- Handle Explanation of Benefits (EOB) and insurance verification to ensure smooth processing.

Hospital/Clinic Handled:
- Mayo Clinic
- Adventist Health

* Provider Service Advocate (Optum Global Solutions)
- Assist providers by helping verify benefits and eligibility.
- Review Claims status
- Create Prior Authorization

* Trainer Intern | Provider Relief Fund/ Testing and Treatment for the Uninsured Program by HHS (Optum Global Solutions)
- Support healthcare providers with program queries
- Identify and verify CPT/procedure codes and ICD-10/diagnosis codes for proper medical processing.
- Ensuring healthcare professionals and organizations had accurate, timely information to effectively navigate the challenges of the pandemic.

* Pharmacy Technician | Optum Global Solutions

- Assist patients by managing prescription benefits, insurance queries, and pharmacy coordination.

Technical Skills & Tools:
* EHR & Billing Systems: ECW, Epic, Cerner, Availity, Zelis, ECHO.

I am deeply committed to providing effective healthcare solutions while ensuring accuracy and excellent patient care. I’m always eager to learn, adapt, and grow in the dynamic healthcare environment.

Seeking opportunities to contribute to healthcare teams focused on revenue cycle management, claims recovery, and operational efficiency.