Ayleen Carreto
@ayleencarreto
I support healthcare and insurance operations through bilingual customer service, documentation, and account coordination.
What I'm looking for
At Unitas, I support PPO management by setting up new accounts, collecting intake documents and fee schedules, verifying dentist participation, and preparing PDF reports for Account Managers and clients.
I've also spent more than three years at Oscar Health helping members navigate health insurance in English and Spanish. I assisted with coverage verification, cost estimates, claims, in-network provider searches, prior authorizations, and prescriptions.
My insurance operations background includes handling total-loss vehicle claims at American Family Insurance, including documentation, customer follow-up, file notation, and settlement checks.
Earlier roles at McKesson, Regional Acceptance, and West Pharmaceuticals strengthened my ability to manage regulated accounts, process data accurately, communicate clearly, train operators, and keep detailed records.
Experience
Work history, roles, and key accomplishments
PPO Management Assistant
Unitas
Jun 2023 - Present (3 years 2 months)
Provides excellent communication with Account Managers, sets up new accounts, verifies dentist participation with PPOs, and prepares PDF reports for client decisions. Assists in negotiation and optimization tasks, follows up on credentialing applications, and documents all communication in Basecamp.
Education
Degrees, certifications, and relevant coursework
Ayleen hasn't added their education
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