Caroline Alvarez
@carolinealvarez
Experienced medical office administrator specializing in insurance verification, billing claims, and authorizations.
What I'm looking for
I’m a healthcare operations professional with over 20 years of medical administrative experience focused on insurance verification, billing claims, and authorizations. I bring a fast-learning, independent working style and stay hands-on with scheduling, patient support, and accurate documentation.
In my current role as a Lead Medical representative, I handle authorizations, verify insurances, and support patients with claims and billing questions. I also contribute to surgery scheduling and hospital authorizations while helping lead and collaborate with the team to meet goals.
Previously, I served as an Office Manager overseeing radiology front and back office staff, supporting hiring, scheduling, and daily coordination for radiologists. Earlier roles included Administration Supervisor and Government Billing Department responsibilities—collecting payments, processing CHDP applications for Medi-Cal, managing HEDIS billing (Medicare, Medi-Cal, and HMO), handling denied claims and rebilling, sending patient responsibility statements, and coordinating overdue accounts with third-party collections.
Experience
Work history, roles, and key accomplishments
Lead Medical Representative
Providence
Oct 2022 - Present (3 years 6 months)
Led medical authorizations and insurance verification, including helping patients with billing and claims questions. Managed surgery scheduling and supported submission of authorization requests while verifying patient coverage.
Office Manager - Radiology
Dynamic Medical Imaging
Sep 2011 - Oct 2022 (11 years 1 month)
Overseers front and back office operations for radiology, including appointment scheduling and coordination for radiologists. Managed hiring, employee work schedules, office inventory, and supply ordering.
Administration Supervisor
Stanley Schwartz, M.D
Jun 2007 - Sep 2011 (4 years 3 months)
Supervised administrative workflows including patient scheduling, insurance verification, check-in, and payment collection. Coordinated medical records and pharmacy refill requests, and handled CHDP and HEDIS-related billing for multiple payer types.
Government Billing Specialist
Insight Billing Services
May 2003 - Jun 2007 (4 years 1 month)
Collected billing information from radiology centers and patients to submit claims and manage the billing cycle. Reviewed denied claims for rebilling opportunities and sent patient responsibility statements, including referral of overdue accounts to third-party collections.
Education
Degrees, certifications, and relevant coursework
Sonora High School
High School Diploma
Earned a high school diploma in 1991.
Availability
Location
Authorized to work in
Job categories
Skills
Interested in hiring Caroline?
You can contact Caroline and 90k+ other talented remote workers on Himalayas.
Message CarolineFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
