Tylin Edwards

I’m a detail-oriented healthcare professional with 5+ years of experience in prior authorizations, claims processing, and revenue cycle operations in high-volume remote environments. I focus on reviewing medical and dental records, verifying insurance eligibility, and navigating multiple systems to keep workflows accurate and compliant.

In my current Caremetx role, I maintain HIPAA compliance while processing 50+ prior authorizations daily using multiple systems. I review medical records to ensure accurate approvals, reduce denials, and manage high-volume caseloads while meeting strict turnaround times.

Previously, as a GEHA / United Health Group Remote Patient Access Rep/Dental Claims processor, I reviewed dental records to ensure claims could be processed effectively and verified patient insurance eligibility and benefits. I also assisted members and providers while maintaining productivity standards in a fast-paced environment.

I’ve supported patients and customers across billing, patient access, and collections—handling 90-100 inbound calls daily, resolving billing and technical issues, and negotiating payment plans for large online loans—while consistently documenting work and de-escalating upset customers.