Open to opportunities

Cierra Carter

@cierracarter

Message

I resolve complex healthcare claims, provider navigation, and member support issues remotely.

United States

Message

What I'm looking for

I'm looking for a remote healthcare operations role where I can resolve complex provider and member issues, support claims and care workflows, use digital tools to improve response efficiency, and maintain strong compliance standards.

At UnitedHealthcare, I resolved complex member and provider inquiries, investigated claims, and handled billing discrepancies in a high-volume remote environment.

I navigated dual and disabled populations through care access, provider outreach, prescription issues, and community resources. I used Microsoft Teams, digital support tools, automated workflows, and claims systems to verify eligibility, document cases, and improve ticket turnaround while maintaining HIPAA compliance.

Before UnitedHealthcare, I supported radiology operations at Memorial Hermann, coordinating outpatient scheduling, provider calendars, procedure preparation, order verification, and patient communications.

I also built hands-on healthcare operations experience at North Cypress Medical Center, supporting imaging teams, patient flow, and inter-departmental transportation logistics.

Experience

Work history, roles, and key accomplishments

Provider Support & Member Navigation Specialist / Claims Adjuster

UnitedHealthcare

Dec 2020 - May 2025 (4 years 5 months)

Served as a key operational point of contact across remote teams, managing complex healthcare inquiries, claims investigations, and billing discrepancies. Reviewed and adjudicated medical claims to ensure compliance with state and federal regulations.

Microsoft Teams Claims Processing Claims Adjudication HIPAA compliance Insurance Verification Eligibility Verification problem resolution Cross Functional Communication Remote Collaboration

Interventional Radiology Unit Secretary / Scheduler

Memorial Hermann

Jul 2017 - Apr 2019 (1 year 9 months)

Coordinated high-volume outpatient radiology scheduling and provider calendar management in a fast-paced hospital setting. Served as the primary communication liaison between physicians, clinical staff, and patients to streamline procedure preparation and order verification.

Scheduling Calendar Management Compliance Patient Coordination

Radiology Receptionist

Memorial Hermann

Jul 2015 - Jul 2017 (2 years)

Verified patient demographics, coverage eligibility, and physician orders at point of service. Handled high-volume inbound communications, managing scheduling intake and patient inquiries efficiently.

Insurance Eligibility Physician Inquiries