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Caroline Alvarez

@carolinealvarez

Experienced medical office administrator specializing in insurance verification, billing claims, and authorizations.

United States
Message

What I'm looking for

I’m looking for a healthcare team where I can lead billing and authorization workflows, help patients with clear answers, and improve claim outcomes through accurate insurance verification and strong coordination with others.

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

IS

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

SS

Sonora High School

High School Diploma

Earned a high school diploma in 1991.

Tech stack

Software and tools used professionally

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