Open to opportunities

Aeisha Wright

@aeishawright1

Healthcare operations and patient-support professional leading Medicare Advantage intake, appeals, and patient care assistance with strong workflow optimization.

United States

Message

What I'm looking for

I’m looking for a healthcare operations role where I can support patients and providers, manage high-volume Medicare Advantage intake and appeals/denials, and improve workflows through KPI-driven quality and clear communication.

I’m a healthcare operations and patient-support professional with leadership experience across call center supervision, Medicare Advantage intake, and patient care assistance. I bring polished communication, strong critical thinking, and a proven ability to resolve complex patient and provider issues with accuracy.

In my current role as a Patient Care Assistant, I provide front-line support for specialty medication needs by triaging calls, coordinating care, and assisting with refill requests, benefit verification, and medication-related inquiries. I also review basic coverage requirements to determine when prior authorization or appeals support is needed, and I help resolve billing-related discrepancies by coordinating with claims and billing departments.

Previously, as a Lead Intake Coordinator and Remote Call Center Supervisor, I ensured Medicare Advantage CSP guidelines and CMS regulations were met while managing complex complaints, including enrollment issues, grievances, provider disputes, medical appeals, denials, and reversals. I monitored KPIs and quality, coached teams, identified operational trends to reduce errors and delays, and continuously supported process improvement in high-volume environments.

Experience

Work history, roles, and key accomplishments

Current

Patient Care Assistant

Current

Lumicera Health Services

Mar 2025 - Present (1 year 1 month)

Provided front-line patient and provider support for specialty medication needs, triaging calls to clinical or administrative teams to enable timely care coordination. Handled refill requests, benefit verification, coverage reviews, and coordinated prior authorization or appeals support while maintaining accurate documentation and supporting process improvements.

Care Coordination Patient Triaging Medicare Advantage Authorization Eligibility Verification Prior Authorizations Documentation

Lead Intake Coordinator

TotalMed

Apr 2022 - Jan 2025 (2 years 9 months)

Managed Medicare Advantage intake work to ensure compliance with CMS regulations and CSP guidelines. Resolved complex complaints across enrollment, claims, grievances, provider disputes, medical appeals, denials, and reversals, and identified operational trends to reduce errors and delays.

Medicare Advantage Eligibility Verification Appeals And Denials Grievance Management Workflow Optimization

Remote Call Center Supervisor

BroadPath Healthcare Solutions

May 2019 - Mar 2022 (2 years 10 months)

Supervised remote agents handling high-volume member and provider inquiries, monitoring performance metrics and conducting quality reviews. Supported escalated coverage and service disputes, verified eligibility and prior authorization requirements, and improved team effectiveness by refining call workflows and identifying training needs.

Call Center Operations Quality Assurance Eligibility Verification Prior Authorizations Escalation Handling Workflow Optimization

Member Service Representative

TriWest Healthcare Alliance

Jan 2016 - Mar 2019 (3 years 2 months)

Provided benefit and referral support to veterans and providers under the VA Community Care program in a high-volume environment. Resolved eligibility, claims status, provider access, and referral routing issues while documenting interactions accurately and coordinating scheduling changes and time-sensitive concerns.

VA Community Care Eligibility Verification Provider Support Scheduling