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Mariel Anne SanchezMS
Open to opportunities

Mariel Anne Sanchez

@marielannesanchez

Healthcare support specialist skilled in claims, prior authorizations, and provider relations.

Philippines
Message

What I'm looking for

I seek a role where I can apply claims and prior authorization expertise, work collaboratively with providers, and grow into advanced claims or case-management responsibilities within a supportive, compliance-focused team.

I am a Healthcare Support Specialist with hands-on experience in claims processing, prior authorizations, EOB interpretation, and claim denials resolution. I focus on accurate documentation, HIPAA-compliant communication, and clear explanations to providers and members.

At Optum Services Solutions I handled complex provider inquiries, clarified denial reasons, assisted with coding corrections, and maintained precise case records. In my current role with DME Services Solutions I process durable medical equipment claims, coordinate benefits verification, and resolve claim-related concerns efficiently.

My background in customer service and volunteer administrative roles sharpened my communication, problem-solving, and attention to detail. I pursue continuous learning through certifications in writing and digital marketing to improve documentation and stakeholder communication.

Experience

Work history, roles, and key accomplishments

DS
Current

Customer Service Representative

DME Services Solutions

Feb 2024 - Present (1 year 10 months)

Processed durable medical equipment claims and authorizations, coordinated benefits verification, and resolved claim-related documentation issues to ensure accurate member coverage clarification.

OS

Provider Service Representative

Optum Services Solutions

Dec 2022 - Oct 2023 (10 months)

Handled complex provider inquiries related to claims, denials, benefits, and reimbursements; explained EOBs and denial reasons and assisted with prior authorization and coding corrections to improve resolution accuracy.

Education

Degrees, certifications, and relevant coursework

CC

Cieverose College

TESDA Basic Computer Literacy, Computer Literacy

Completed TESDA Basic Computer Literacy program at Cieverose College.

Bestlink College of the Philippines logoBP

Bestlink College of the Philippines

Undergraduate (First Year), Psychology

Completed first-year coursework in Psychology.

Tech stack

Software and tools used professionally

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Mariel Anne Sanchez - Customer Service Representative - DME Services Solutions | Himalayas