Carlyn Sanders
Buckeye,Az
Summary
Detail-oriented Claims Processor with extensive experience in medical scheduling and insurance verification, adept at resolving complex issues and streamlining workflows. Proven ability to enhance team productivity and improve communication with healthcare professionals. Ready to leverage strong administrative and claims processing skills to support a new team in delivering efficient service.
Overview
21
21
years of professional experience
Work History
Radiology Scheduler
Banner Healthcare
Buckeye, AZ, US
04.2025 - Current
- Collaborated closely with radiologists, nurses, physicians, and other healthcare professionals on daily operations within the department.
- Resolved any customer service issues that arose during office hours promptly and professionally.
- Identified potential conflicts between scheduled appointments and addressed them quickly.
- Utilized excellent communication skills to explain procedures and protocols to patients and families.
- Demonstrated expertise in scheduling radiology appointments, coordinating with medical staff and patients to ensure timely service delivery.
- Performed quality assurance checks on scheduled appointments to verify accuracy of data entered into system.
- Processed incoming referrals from outside providers while verifying insurance eligibility requirements.
- Resolved and clarified codes and diagnoses with conflicting, missing and unclear information by consulting with doctors and others and by participating in coding team's regular meetings.
- Generated reports from the EHR system for quality improvement initiatives.
Claims Examiner/Adjudication
Mphasis
Phoenix, AZ, US
09.2021 - 02.2025
- Processed over 150 claims daily, maintaining 98% accuracy and ensuring compliance with healthcare regulations and company policies.
- Resolved complex claims issues, reducing escalations by 25%.
- Improved workflow efficiency by streamlining claims reprocessing, cutting errors and resolution time by 20%.
- Identified and reported over $50,000 in payment discrepancies, leading to corrective actions.
- Contributed to a 15% increase in team productivity by delivering process improvement recommendations.
Authorization Specialist/Provider Relations
American Vision Partners
Tempe, AZ, US
07.2019 - 08.2021
- Processed and maintained over 100 authorization requests per week, reducing approval time by 15%.
- Streamlined provider communication, increasing satisfaction by 20%.
- Managed authorization workflows and reduced delays, improving efficiency by 10%.
- Developed and delivered training on updated protocols, boosting team compliance rates.
Patient Registration Supervisor
Optum/UnitedHealth Group
Phoenix, AZ, US
06.2015 - 06.2019
- Supervised a team of 10 in patient registrations, reducing wait times by 30%.
- Coordinated patient care across departments, improving communication by 25%.
- Implemented HIPAA-compliant procedures, achieving 100% audit pass rates.
- Improved billing and scheduling protocols, reducing errors by 15%.
Behavioral Health Tech
Aurora Behavioral Health Center
West Covina, CA, US
04.2005 - 05.2015
- Provided individualized care for over 50 patients, improving recovery outcomes by 15%.
- Supported clients in setting recovery goals, increasing program retention rates.
- Collaborated on treatment plans, improving progress tracking by 20%.
- Maintained compassionate care in sensitive conditions, ensuring positive environments.
Education
High School Diploma - undefined
Ashworth College
Skills
Active listening
Computer skills
Customer service
Multitasking
Attention to detail
Teamwork and collaboration
Problem-solving
HIPAA compliance
Microsoft Office
Remote Work
Insurance Verification
Attention to Detail
Medical Terminology
EMR/Claims Systems
Data Entry
Effective Communication
Empathy and Compassion
Claims Processing
Administrative Support Specialist
- HIPAA compliance
- Patient scheduling
- Insurance verification
- Data entry proficiency
- Radiology procedures
Timeline
Radiology Scheduler
Banner Healthcare
04.2025 - Current
Claims Examiner/Adjudication
Mphasis
09.2021 - 02.2025
Authorization Specialist/Provider Relations
American Vision Partners
07.2019 - 08.2021
Patient Registration Supervisor
Optum/UnitedHealth Group
06.2015 - 06.2019
Behavioral Health Tech
Aurora Behavioral Health Center
04.2005 - 05.2015
High School Diploma - undefined
Ashworth College