Samantha MiguelSM
Open to opportunities

Samantha Miguel

@samanthamiguel

Healthcare pro with 10 years of experience seeking fulfilling remote roles to help others.

United States

What I'm looking for

I am seeking a client-focused or operations position that allows me to assist others in a fast-paced setting. I am enthusiastic about entering the project management field.

Demonstrated enthusiasm for fostering inclusive team environments and enhancing operational efficiency in previous roles. A strong background in member support and effective communication indicates a commitment to improving employee experiences and ensuring accurate data management. Proven success in streamlining processes and collaborating across departments aligns well with the responsibilities outlined in the position, supporting the overall mission of talent development and organizational effectiveness.

Experience

Work history, roles, and key accomplishments

Included Health logoIH
Current

Claims Support Advocate

Oct 2024 - Present (7 months)

-Enhanced claim resolution speed by 20%, resulting in improved customer satisfaction by processing over 250 inquiries monthly
-Achieved a 95% member satisfaction rating through effective communication and problem-solving skills
-Educated members on their insurance benefits and coverage options, ensuring clarity and enhancing their ability to make informed decisions

Included Health logoIH

Senior Medical Records Specialist

Sep 2022 - Oct 2024 (2 years 1 month)

-Improved efficiency by 25% by leading the transition of 1,000 claims cases from Banyan to Salesforce
-Increased QA efficiency by 25% by developing reports to identify and streamline recurring errors
-Fostered collaboration among cross-functional teams to enhance inclusivity
-Improved physician efficiency by 15% by accurately labeling medical records from over 500 facilities

AN

Ryan White Case Manager

Access to Healthcare Network

Sep 2018 - Apr 2022 (3 years 7 months)

-Improved case resolution rate by 15% through participation in team meetings on case management strategies
-Educated clients on available community resources and how to access them
-Assisted clients with obtaining basic needs such as housing, food, clothing, transportation, employment assistance and medical care

CL

Project Specialist

Caminar Latino

Aug 2018 - Jan 2019 (5 months)

-Improved project timeline alignment by coordinating 10 stakeholder meetings, resulting in a 15% efficiency increase
-Scheduled and participated in project meetings, keeping discussions focused and productive
-Utilized advanced problem-solving skills to resolve issues affecting delivery timelines

Education

Degrees, certifications, and relevant coursework

University of Nevada, Reno logoUR

University of Nevada, Reno

Bachelor of Arts, English Writing

2014 - 2018

Grade: 3.8

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Samantha Miguel - Claims Support Advocate - Included Health | Himalayas