Mariel Anne Sanchez
@marielannesanchez
Healthcare support specialist skilled in claims, prior authorizations, and provider relations.
What I'm looking for
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
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.
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.
Provided high-volume customer support on a telecommunications account, strengthening communication and problem-solving skills applied to healthcare support processes.
Education
Degrees, certifications, and relevant coursework
Cieverose College
TESDA Basic Computer Literacy, Computer Literacy
Completed TESDA Basic Computer Literacy program at Cieverose College.
Bestlink College of the Philippines
Undergraduate (First Year), Psychology
Completed first-year coursework in Psychology.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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