Princess Sonkarlay
@princesssonkarlay
Administrative and customer support professional specializing in documentation review and claims-style investigations to resolve complex issues.
What I'm looking for
I’m a detail-oriented administrative and customer support professional with over seven years of experience coordinating complex case activities, reviewing documentation, conducting research, resolving customer concerns, and maintaining confidential records in highly regulated healthcare environments. I’m recognized for analytical thinking, strong organization, and the ability to investigate issues, interpret documentation, and communicate findings clearly.
In my Care Coordinator role at Centene Corporation, I investigated member issues by reviewing documentation, eligibility information, and healthcare records to determine appropriate next steps. I conducted research to resolve account discrepancies while ensuring compliance with healthcare regulations, coordinated with providers and insurance representatives, maintained accurate case documentation, and protected confidential information in accordance with HIPAA requirements.
Earlier, as a Care Manager at Caring Senior Service and a Care Management Support Coordinator at SPNet Select Medical, I managed multiple client cases, completed timely documentation and service coordination, and prepared reports with detailed recordkeeping. I reviewed medical documentation, referrals, insurance information, and authorization requests for completeness and accuracy, investigated discrepancies, coordinated with providers to obtain missing information, and tracked case progress using multiple software systems.
Alongside my work, I’m completing a Master of Business Administration to strengthen analytical, organizational, leadership, and project management skills. I’m also coordinating complex healthcare services involving multiple providers, insurance companies, therapy organizations, and specialists—building the investigative, research, negotiation, and documentation skills I’m eager to apply to a career in insurance claims.
Experience
Work history, roles, and key accomplishments
Investigated member issues by reviewing documentation, eligibility information, and healthcare records to determine appropriate next steps. Coordinated with providers and insurance representatives, maintained HIPAA-compliant case documentation, and resolved account discrepancies while ensuring regulatory compliance.
Care Manager
Caring Senior Service
Jan 2020 - Sep 2020 (8 months)
Managed multiple client cases while ensuring timely documentation and service coordination. Conducted client assessments, coordinated with healthcare providers and families, and resolved client concerns through investigation and problem-solving.
Care Management Support Coordinator
SPNet Select Medical
Aug 2019 - Dec 2019 (4 months)
Reviewed medical documentation, referrals, insurance information, and authorization requests for completeness and accuracy. Investigated documentation discrepancies, coordinated with providers to obtain missing information, maintained electronic records, and supported scheduling, reporting, and operational compliance.
Education
Degrees, certifications, and relevant coursework
Southern New Hampshire University
Master of Business Administration (MBA), Information Technology Management
Master of Business Administration (MBA) in Information Technology Management at Southern New Hampshire University, expected completion in 2026.
Texas Southern University
Bachelor of Science, Healthcare Administration
Bachelor of Science in Healthcare Administration from Texas Southern University, completed in 2018.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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