Open to opportunities

Syria Hopkins

@syriahopkins

Message

Senior healthcare claims analyst skilled in claims adjudication, medical record review, and dispute resolution.

United States

Message

What I'm looking for

I seek a senior healthcare claims role where I can apply medical coding and claims adjudication expertise, improve processes, and work in a collaborative, data-driven environment.

I am a senior analyst specializing in healthcare claims processing, dispute resolution, and medical record review, with a consistent record of meeting productivity and quality standards.

I have extensive experience using claims management systems and medical coding (ICD-10, CPT, HCPCS) to improve adjudication accuracy and operational efficiency.

My background includes leading teams, training staff, and collaborating with vendors, development teams, and regulatory bodies to streamline auto-adjudication and reduce accounts receivable.

I am customer-focused and data-driven, comfortable handling high-volume claims, generating analytical reports, and resolving complex customer and payer issues to drive operational excellence.

Experience

Work history, roles, and key accomplishments

Current

Recovery & Resolution Analyst

Current

UnitedHealthcare

Feb 2025 - Present (1 year)

Provide claims review and investigation, analyze medical records and policy language to resolve disputes, and meet productivity and quality standards while improving adjudication accuracy.

Claim Adjudication Medical Record Review Dispute Resolution Policy Analysis

Senior Claims Representative

UnitedHealthcare

Jan 2023 - Feb 2025 (2 years 1 month)

Managed high-volume claims processing and data entry, ensured accuracy and compliance, generated claims reports and collaborated with vendors and development to improve auto-adjudication.

Claims Processing Compliance Medical Coding Reporting CRM Vendor Management

Senior Customer Service Representative

UnitedHealthcare

Feb 2021 - Jan 2023 (1 year 11 months)

Handled and resolved customer complaints through CRM channels, maintained detailed interaction records, and consistently exceeded team service and call-handling targets.

Customer Service Conflict Resolution Facets Remote Support Empathy Performance Metrics

Billing Supervisor

Xerox

Jun 2014 - Jan 2016 (1 year 7 months)

Led a billing team, conducted audits, identified root causes of processing issues, optimized staffing and used automation to verify eligibility and reduce accounts receivable.

Team Leadership Root Cause Analysis Eligibility Verification Process Improvement Automation Tools

Mental Health Technician

MS State Hospital

Feb 2012 - Jun 2014 (2 years 4 months)

Provided direct patient care, documented behaviors and treatment activities, employed crisis de-escalation techniques, and collaborated with medical staff to support patient outcomes.

Patient Care Crisis Intervention Documentation Confidentiality Team Collaboration

Shift Leader

Newk's Eatery

Apr 2010 - Feb 2012 (1 year 10 months)

Oversaw daily restaurant operations, trained and mentored staff, managed schedules and ensured compliance with food safety and operational standards to improve service quality.

Scheduling Operations Management Customer Service Performance Coaching