Certified Professional Coder | Operational Excellence Analyst| Medical Coding |

Handled high-volume email support for employee benefits inquiries, including claim status, eligibility verification, and coordination with insurance carriers. Known for clear, timely, and professional communication in resolving sensitive healthcare issues.

Experienced in provider support and denial management within US medical insurance. Skilled in reviewing and adjusting claim denials, coordinating with third-party administrators, and ensuring accurate resolution. Strong grasp of payer policies and healthcare workflows.

Currently supporting a certified medical coder in reviewing insurance denials, applying coding corrections (including CPT modifiers such as 25, 59), and preparing claims for resubmission or appeal. Tasks include reviewing payer responses, adjusting CPT/ICD codes, and ensuring compliance with payer-specific policies. Gained direct experience in U.S. healthcare workflows, including back-end coding and provider–payer communication. Preparing for CPC certification.

Operational Excellence Specialist with experience in identifying process inefficiencies, streamlining workflows, and supporting continuous improvement in healthcare operations. Skilled in root cause analysis, SOP development, and driving service quality through Lean thinking.