Remote Healthcare Support & Data Entry Specialist

Anna Slater

Dacula, GA ***** 202-***-**** ***********@*****.***

Remote Healthcare Support Data Entry Claims & Appeals Processing HIPAA Compliant PROFESSIONAL EXPERIENCE

Lumen Solutions – Remote March 2024 – March 2025 Data Entry Clerk

• Created and managed appeal cases using FACETS.

• Assigned and routed documentation to appropriate queues for processing.

• Ensured proper case tracking and maintained document accuracy across systems. SGS Consulting – Remote August 2023 – January 2024 Medicare Part D Coverage and Appeals Representative

• Verified member details and selected appropriate workflows for Medicare Part D cases.

• Submitted prior authorization requests and processed test claims for pharmacy benefits.

• Ensured compliance with CMS and internal guidelines. Indotronix International Corp – Remote March 2023 – May 2023 Member Services Representative

• Handled member support requests including tax forms, plan updates, and cancellations.

• Used Salesforce and HIX to verify and update enrollment, eligibility, and demographic info.

BroadPath Healthcare Solutions – Remote April 2021 – June 2022 Provider Services Representative

• Provided provider support regarding patient eligibility, benefits, and prior authorizations.

• Documented case resolutions using Genesys call platform (minimal phone support involved).

BroadPath Healthcare Solutions – Remote March 2020 – April 2021 Member Services Representative

• Supported COVID-19 testing program; provided guidance and recorded case details.

• Navigated multiple systems to assist with claims, policy payments, and provider lookups.

Delmarva Foundation – Washington, DC June 2017 – August 2018 Project Support Specialist I

• Entered and tracked case status updates for beneficiaries and case managers.

• Maintained strict HIPAA confidentiality across all data systems.

• Cross-trained in multiple administrative functions for operational support. Health Net Federal Services – Tampa, FL November 2015 – August 2016 Authorizations and Appointing Representative

• Entered and processed healthcare authorizations for veterans using custom systems.

• Scheduled non-VA provider appointments and confirmed details via outbound messaging.

Community Health Accreditation Partner (CHAP) – Washington, DC March 2011 – September 2014

Receptionist / Administrative Assistant

• Coordinated travel, meeting agendas, and daily correspondence.

• Managed front desk communications and supported executives with admin tasks. EDUCATION

High School Diploma

Paul Laurence Dunbar High School – Washington, DC Graduated June 2005 TECHNICAL SKILLS

FACETS Salesforce HIX Genesys Microsoft Office (Word, Excel, Outlook) Secure HIPAA Compliant Platforms

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