CI’ERRA WALKER
Douglasville,GA
Summary
Healthcare support professional with 5+ years of experience in benefit verification, prior authorizations, and provider onboarding. Skilled in insurance eligibility, payer portal navigation, red flag screening, and denial prevention with strong knowledge of commercial and government payer requirements. Known for maintaining accurate provider and patient records, ensuring compliance, and delivering timely communication to stakeholders.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Team Lead, Referral Support
Chenega Corporation
03.2025 - Current
- - Verify patient insurance eligibility and benefits prior to specialty and behavioral health referrals.
- - Obtain and coordinate prior authorizations, ensuring compliance with payer requirements.
- - Train referral support staff on payer workflows, CRM processes, and HIPAA compliance.
- - Monitor productivity and accuracy, reducing processing errors by 10%.
- - Manage high-volume referral requests while maintaining timeliness and accuracy.
- - Collaborate with providers, payers, and scheduling teams to resolve documentation gaps.
- - Prevent claim denials by ensuring complete and accurate submissions.
- Remote
Lead Member Care Specialist / Claims Associate
Florida Blue / Blue Cross Blue Shield
05.2023 - 02.2024
- - Verified member benefits and eligibility for commercial and government health plans.
- - Supported claims processing accuracy by ensuring documentation matched payer requirements.
- - Partnered with claims teams to identify and prevent denial risks.
- - Resolved escalated coverage and claims disputes with professionalism and accuracy.
- - Delivered consistent support, achieving 95%+ customer satisfaction.
- - Maintained thorough CRM documentation for all member interactions.
- Remote
Lead, Chat and Scheduling Support
North Atlanta Spine and Pain
07.2022 - 10.2022
- - Verified patient insurance coverage during scheduling and explained financial responsibility.
- - Coordinated scheduling for procedures, ensuring prior authorization requirements were met.
- - Developed quick-reference workflow guides to improve staff accuracy and efficiency.
- - Conducted follow-ups on missing documentation to prevent delays in care.
- - Resolved escalated scheduling issues, achieving 90% first-contact resolution.
Lead ROI Specialist
ChartPro
12.2021 - 07.2022
- - Oversaw HIPAA-compliant release of information (ROI) for medical records.
- - Responded to payer requests for documentation to support claims and authorizations.
- - Trained and mentored new staff, ensuring compliance with privacy regulations.
- - Resolved escalated EMR and ROI troubleshooting requests quickly and accurately.
- - Ensured accurate record maintenance within EMR systems.
Medical Receptionist
Urban Family Practice
01.2017 - 01.2021
- - Managed patient scheduling, insurance verification, and front desk operations.
- Earlier Roles (2017–2021)
Patient Access Representative
Wellstar Health
01.2017 - 01.2021
- - Verified insurance eligibility and coordinated patient admissions.
- Earlier Roles (2017–2021)
Patient Account Representative
Conifer Health Solutions
01.2017 - 01.2021
- - Assisted with patient billing inquiries and communicated with payers to prevent denials.
- Earlier Roles (2017–2021)
Education
Medical Assistant / Medical Office Expert Certificate -
Javelin Technical Training Center
High School Diploma -
Joseph Wheeler High School
MARIETTA, GASkills
- - Insurance Eligibility and Benefit Verification
- - Prior Authorizations (Services, Procedures, Medications)
- - Provider Onboarding and Credentialing Support
- - EMR and EHR Systems (Epic, Medi-Soft)
- - Payer and Credentialing Portals (Availity, UHC, Aetna, Cigna, Medicare/Medicaid)
Certification
- - CPR (Adult, Infant and Child with AED and First Aid)
- - Certified Medical Assistant – Pending
Timeline
Team Lead, Referral Support
Chenega Corporation
03.2025 - Current
Lead Member Care Specialist / Claims Associate
Florida Blue / Blue Cross Blue Shield
05.2023 - 02.2024
Lead, Chat and Scheduling Support
North Atlanta Spine and Pain
07.2022 - 10.2022
Lead ROI Specialist
ChartPro
12.2021 - 07.2022
Medical Receptionist
Urban Family Practice
01.2017 - 01.2021
Patient Access Representative
Wellstar Health
01.2017 - 01.2021
Patient Account Representative
Conifer Health Solutions
01.2017 - 01.2021
Medical Assistant / Medical Office Expert Certificate -
Javelin Technical Training Center
High School Diploma -
Joseph Wheeler High School