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Alfreda Murphy

@alfredamurphy

Healthcare revenue cycle and claims processing professional with 15+ years improving accuracy, denials outcomes, and payer resolution.

United States
Message

What I'm looking for

I’m looking for a remote-friendly healthcare role where I can own claims and revenue cycle accuracy—handling insurance verification, prior authorizations, and denials with strong payer communication, compliance, and measurable quality improvements.

I’m a Claims Processing, Revenue Cycle, and Healthcare Operations professional with 15+ years of experience supporting medical claims review, insurance verification, reimbursement resolution, prior authorizations, denials management, payment accuracy, patient accounts, and payer relations.

I’m skilled in CPT, ICD-10, EOB review, Medicare, Medicaid, commercial insurance, and HIPAA compliance—especially in high-volume production environments where accuracy and speed both matter.

Across my roles, I’ve supported revenue cycle performance by managing prior authorization workflows, researching authorization and reimbursement issues, and coordinating issue resolution across departments to keep billing readiness on track.

I’m recognized for analytical problem-solving and delivering quality results in remote healthcare operations, bringing a consistent focus on data accuracy, documentation quality, and payer communications that help move claims forward.

Experience

Work history, roles, and key accomplishments

Kaiser Permanente logoKP
Current

Appointment Scheduler

Jan 2026 - Present (5 months)

Verified insurance eligibility, benefits, and coverage for patient services by reviewing patient accounts, referrals, and documentation for accuracy and completeness. Resolved account discrepancies and coordinated issue resolution across departments while using Epic in compliance with HIPAA and quality standards.

Education

Degrees, certifications, and relevant coursework

PS

Proviso East High School

Attended Proviso East High School; degree and study field were not specified.

Tech stack

Software and tools used professionally

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