Erica Preston
@ericapreston
I coordinate Medicare appeals, improve compliant workflows, and train teams to resolve complex member cases.
What I'm looking for
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
Coordinate complex medical and dental appeals, mentor and train new employees, support quality initiatives, and collaborate with clinical reviewers to ensure compliance and turnaround goals.
Education
Degrees, certifications, and relevant coursework
High Tech Institute
Associate of Applied Science, Applied Science
Earned an Associate of Applied Science degree from High Tech Institute in 2005.
Coffee County Central High School
High School Diploma, General Studies
Completed high school education at Coffee County Central High School in 2003.
Availability
Location
Authorized to work in
Job categories
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