Sonya Anthony
@sonyaanthony
I coordinate clinical cases, prior authorizations, benefits verification, and healthcare reimbursement.
United StatesWhat I'm looking for
I've supported healthcare operations at Wipro/UnitedHealthcare, CareMetx, Centauri Health Solutions, Cencora, and Alignment Healthcare. I coordinate clinical cases, review documentation, communicate decisions, and work closely with providers, members, pharmacies, and payers.
At CareMetx and Cencora, I processed prior authorizations, verified insurance benefits, documented payer requirements, and resolved reimbursement issues. My background also includes provider credentialing, directory validation, pharmacy operations, medical billing and coding, and front-desk patient support.
With more than 20 years in healthcare administration and customer service, I manage complex cases while protecting confidential information and maintaining HIPAA compliance.
I'm comfortable working across EMR/EHR systems, Medicare and Medicaid requirements, medical records, and detailed documentation workflows.
Experience
Work history, roles, and key accomplishments
Clinical Administrative Coordinator
Wipro / UnitedHealthcare
Jan 2026 - Present (7 months)
Coordinate clinical cases, review documentation, contact providers and members, perform prioritizations and decision communications.
Education
Degrees, certifications, and relevant coursework
Everest College
Certificate, Medical Insurance Billing & Coding
Completed a program in Medical Insurance Billing & Coding, gaining skills in medical billing, coding, and insurance procedures.
Availability
Location
United StatesAuthorized to work in
Job categories
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