Healthcare VA | Medical Admin & Patient SupportHealthcare VA | Medical Admin & Patient Support

Key Achievements:

Manage complex healthcare appeal requests and process determinations by reviewing case documentation, applying established workflows, and ensuring accurate and timely case resolution. Analyze supporting medical and administrative documentation to determine appropriate next steps, helping maintain accuracy and compliance across high-volume healthcare operations. Coordinate case information and documentation across internal workflows, reducing processing delays and supporting consistent turnaround times.

Key Achievements:

Reviewed and validated 40–60 inpatient cases daily, analyzing EMR/EHR documentation and case information to support accurate healthcare determinations and utilization management workflows. Processed QIO/DENC-related requests by reviewing clinical documentation and coordinating required information through email, fax, and outbound communication, ensuring cases progressed within established requirements. Managed sensitive patient and case information in accordance with HIPAA and healthcare privacy requirements, maintaining accuracy while working with high-volume documentation. Earned recognition as a Top Performer, Top Quality Achiever, and Reporting Wizard Award recipient (2023) for consistently meeting productivity, quality, and reporting expectations.

Key Achievements:

Processed 100+ customer internet bundle orders daily, validating order details and coordinating requests to ensure accurate and timely fulfillment. Managed high-volume customer and order information across multiple workflows, resolving discrepancies and following established procedures to minimize processing errors. Coordinated with internal teams to address order issues and maintain smooth order fulfillment while meeting daily productivity and quality targets.

Key Achievements:

Processed high-volume title and escrow documentation, reviewing and entering critical property information with a strong focus on accuracy and completeness. Performed detailed data entry and document validation to ensure records met established processing requirements and quality standards. Managed time-sensitive documentation within structured workflows, consistently handling detailed records while maintaining accuracy and productivity.