Monica Roldan
@monicaroldan
Detail-oriented Claims Representative with expertise in medical billing.
What I'm looking for
I am a detail-oriented and dependable Claims Representative with a strong foundation in medical billing, claims processing, and denial management across healthcare and insurance sectors. My experience includes handling government and commercial payors, resolving complex claims issues, and ensuring compliance with HIPAA and regulatory standards. I am adept in systems like OnBase, ePremis, and Excel, and I pride myself on my ability to communicate effectively with both internal teams and external partners.
Throughout my career, I have managed hospice claims and denials, resolved high-dollar and aged accounts, and ensured accurate documentation while maintaining full HIPAA compliance. My previous roles have equipped me with a comprehensive understanding of the claims process, and I am ready to bring my accuracy, efficiency, and excellent service to Cigna’s claims operations. I am also skilled in graphic design and branding, which allows me to support healthcare providers with clear, patient-friendly communication tools.
Experience
Work history, roles, and key accomplishments
Executive Real Estate Administrative Assistant
Sotheby’s International Realty
Jan 2023 - Dec 2025 (2 years 11 months)
Provided administrative support to a top realtor, managing scheduling, communications, and property listings. Ensured efficient operation of daily tasks and client interactions.
Accounts Receivable Specialist II
Community Health Systems (CHS)
Jan 2019 - Dec 2022 (3 years 11 months)
Managed Hospice claims and denials for government payors across multiple facilities. Resolved high-dollar and aged accounts by collaborating with payers and internal departments, ensuring accurate documentation and HIPAA compliance.
Claims / Accounts Payable Specialist
Universal North America Insurance
Jan 2018 - Dec 2019 (1 year 11 months)
Processed insurance claims and payments, maintaining accurate accounts payable records. Assisted with billing discrepancies and facilitated cross-department communications while handling confidential data with strict compliance.
Cosmetic Sales
Estée Lauder Companies
Jan 2017 - Dec 2018 (1 year 11 months)
Delivered tailored skincare and beauty consultations in a luxury retail setting. Maintained sales goals while building strong client relationships and providing exceptional customer service.
Marketing & Events Coordinator
LiBar S.A.
Jan 2012 - Dec 2017 (5 years 11 months)
Managed social media and online engagement for a boutique hospitality business. Planned and executed events, overseeing communications, vendors, and guest lists to ensure successful outcomes.
Graphic Design & Branding Consultant
La Casa del Médico S.A. & Clients
Jan 2009 - Dec 2012 (3 years 11 months)
Designed patient-friendly intake forms, instructions, and marketing materials for healthcare providers. Supported clients with clear, branded communication tools to enhance patient engagement.
Seasonal Sales Associate
Nordstrom
Jan 2005 - Dec 2007 (2 years 11 months)
Provided customer service during peak seasonal traffic, assisting shoppers with their needs. Maintained sales floor presentation to ensure an organized and appealing shopping environment.
Education
Degrees, certifications, and relevant coursework
Savannah College of Art and Design (SCAD)
Bachelor of Fine Arts, Graphic Design & Communications
Studied graphic design principles and communication strategies. Developed skills in visual communication and design software.
Florida State University (FSU)
Undertook coursework at Florida State University.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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