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Cassandra Rich

@cassandrarich

Healthcare claims and provider services representative focused on accurate, HIPAA-compliant resolution.

United States
Message

What I'm looking for

I’m looking for a remote claims/provider services role where I can interpret benefits, research denials/appeals, and resolve inquiries accurately and efficiently while staying HIPAA-compliant in a fast-paced, performance-focused team.

I’m a detail-driven Customer First Representative with healthcare insurance experience supporting both medical and dental provider calls, claims, and benefits inquiries in fast-paced remote environments. I’m backed by 11 years of customer service excellence and a strong record of meeting performance targets while ensuring HIPAA compliance.

I handle claims denial research, appeal and documentation workflows, COB and eligibility verification, and payment/overpayment review—always working to deliver accurate, efficient claim and benefit outcomes. I also document actions carefully in internal systems and use tools like Excel and provider portals to ensure complete, compliant records and timely follow-up for providers and members.

Experience

Work history, roles, and key accomplishments

UnitedHealthcare logoUN
Current

Customer First Rep (Dental)

May 2026 - Present (3 months)

Handle high-volume provider calls for dental claims and benefit inquiries, including dental benefit interpretation, authorization requirements, and document submissions. Review remittances and claim/payment history, investigate denied claims and appeals, verify eligibility/COB, and maintain accurate compliant account notes.

BlueCross BlueShield of Tennessee logoBT

Claims Research & Provider Adv

Jun 2024 - Apr 2026 (1 year 10 months)

Provide high-volume provider support for medical claims, payments, and documentation requirements. Research claim denials, submit reconsideration materials, track appeals, make appropriate claim adjustments/overrides, correct claim data in internal systems, and communicate outcomes via formal letters while logging daily productivity in Excel.

ST

Customer Service

Staples

Jul 2006 - Nov 2012 (6 years 4 months)

Assist customers with product questions and resolve customer concerns in a retail environment while maintaining clean, organized work areas. Manage cash register balancing, perform copying/faxing tasks, conduct inventory cycle counts, and restock aisles based on planograms.

AM

Cashier/Customer Service

Amoco

Jul 2004 - Jul 2006 (2 years)

Provide fast, accurate checkout and friendly customer service while handling cash register balancing. Support stocking and inventory counts, assist with food preparation and service, maintain a clean work environment, and direct daily work routines to ensure quality service.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Accounting

2009 -

Completed accounting education at University of Phoenix beginning in May 2009.

Tech stack

Software and tools used professionally

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