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Erica PrestonEP
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Erica Preston

@ericapreston

I coordinate Medicare appeals, improve compliant workflows, and train teams to resolve complex member cases.

United States
Message

What I'm looking for

I'm looking to continue improving Medicare appeals and healthcare operations through compliant case handling, workflow improvement, quality initiatives, team training, and collaboration with clinical staff and providers.

At SCAN Health Plan, I coordinate complex medical and dental appeals, work with clinical reviewers, and support compliance and turnaround goals.

I've built more than 20 years of healthcare operations experience across Medicare appeals, regulatory compliance, quality assurance, and member advocacy. Previously at HCSC and Cigna Medicare, I processed appeal intake, documentation, and pre-service and post-service cases in accordance with CMS and organizational requirements.

I train and onboard employees on appeals workflows, systems, and quality standards, while serving as a resource for grievance and appeals processes.

My clinical background includes managing urgent-care operations at Urgent Team Immediate Family Care and providing diagnostic imaging at United Regional Medical Center. I bring practical experience in patient care, prior authorizations, provider collaboration, budgeting, and quality-focused case handling.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

HI

High Tech Institute

Associate of Applied Science, Applied Science

Earned an Associate of Applied Science degree from High Tech Institute in 2005.

CS

Coffee County Central High School

High School Diploma, General Studies

Completed high school education at Coffee County Central High School in 2003.

Tech stack

Software and tools used professionally

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