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Carla SmithCS
Open to opportunities

Carla Smith

@carlasmith1

Detail-oriented healthcare customer service professional with claims expertise.

United States
Message

What I'm looking for

I seek a role where I can apply my claims, provider correspondence, and documentation skills in a collaborative, compliant remote environment with opportunities for growth.

I am a detail-oriented healthcare customer service professional with over six years of contact center and healthcare support experience, focused on resolving provider, member, and claims inquiries while maintaining HIPAA compliance.

I have a proven track record managing complex insurance verification, prior authorization requests, reimbursement and billing support, and documentation across multi-system environments, including Salesforce and other healthcare claims systems.

I collaborate effectively with providers, payers, and internal teams to research discrepancies, drive accurate claim outcomes, and maintain high standards of data integrity and professionalism in remote contact center roles.

Experience

Work history, roles, and key accomplishments

FC

Customer Service Advocate

Fidelis Care

Oct 2021 - Dec 2025 (4 years 2 months)

Resolved complex provider and member inquiries on coverage, claims, and billing, verified eligibility and benefits, and ensured accurate documentation and HIPAA-compliant processes to improve claim outcomes.

Education

Degrees, certifications, and relevant coursework

Barry University logoBU

Barry University

Bachelor of Science, Business Management

Completed a Bachelor of Science in Business Management focused on management principles and business operations.

Tech stack

Software and tools used professionally

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