Karla Herrera
Stockbridge
Summary
Healthcare Administrative Professional with experience as an Associate Clinical Administrative Coordinator at UnitedHealthcare, specializing in care coordination, insurance benefits, authorizations, claims support, and provider communication. Strong background in medical documentation, patient account management, and HIPAA compliance within a high-volume remote environment. Bilingual English/Spanish with strong organizational and multitasking abilities.
Overview
10
10
years of professional experience
Work History
Associate Clinical Administrative Coordinator
UnitedHealthcare — Remote
03.2022 - Current
- Coordinate member care services, referrals, and benefit support in a high-volume call and case environment
- Process insurance claims, prior authorizations, and eligibility verification
- Maintain and update electronic medical records (EMR/EHR systems)
- Communicate with providers, clinics, and internal care teams to coordinate services
- Ensure full HIPAA compliance and protection of patient health information
- Resolve member issues, billing inquiries, and care access barriers
Clerical Specialist
Fulton County Board of Health – Atlanta, GA
04.2016 - 03.2022
- Reviewed files, records, and documents to gather information and respond to internal and external requests
- Maintained and updated customer and business records to ensure accuracy and compliance
- Collected, processed, and entered payment data into system while maintaining strict confidentiality
- Prepared, typed, formatted, and edited correspondence, reports, and official documents
- Verified and corrected account and customer data to ensure data integrity and accuracy
- Maintained focus and accuracy while performing high-volume data entry and administrative tasks
- Consistently exceeded quality and productivity goals in a fast-paced office environment
Education
High School Diploma -
Technical College System of Georgia
Atlanta, GASkills
- Care Coordination
- Clinical Administrative Support
- Referrals & Authorizations
- Claims & Benefits Verification
- Patient Scheduling & Case Support
- Medical Records & Documentation
- EMR/EHR Systems
- HIPAA Compliance
- Provider & Member Communication
- Data Entry & Case Management
- Bilingual: English / Spanish
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Associate Clinical Administrative Coordinator
UnitedHealthcare — Remote
03.2022 - Current
Clerical Specialist
Fulton County Board of Health – Atlanta, GA
04.2016 - 03.2022
High School Diploma -
Technical College System of Georgia