Ariel Parham

Expert in patient support, provider relations, and team collaboration. Proven success in fast-paced clinical environments, delivering high-quality service while maintaining accuracy, efficiency, and professionalism. Motivated to continuously learn, grow, and contribute to organizational success.

Customer Care Advocate - Oak Street Health, part of CVS Health - Remote

(2026-01)

• Schedules and coordinates Medicare patient appointments, optimizing provider schedules and operational efficiency.
• Confirms patient appointments and maintains accurate scheduling records to support seamless clinic operations.
• Processes and submits referral requests to healthcare providers, ensuring timely access to necessary medical services.
• Coordinates and transmits patient referrals to specialists, facilitating prompt continuity of care.
• Assists patients with appointment scheduling, referrals, and care coordination to enhance the patient experience.
• Collaborates with providers to obtain and manage patient documentation, ensuring compliance with healthcare regulations and organizational standards.
• Delivers professional and compassionate customer service, resolving routine inquiries and addressing patient concerns in a timely manner.
• Maintains effective communication with patients, providers, and healthcare teams to support quality care delivery and positive outcomes.

Patient Care Coordinator III - Centene - Absolute Total Care Medicaid - Remote

(2025-04 - 2025-11)

• Collaborated with healthcare providers and teams to develop and implement individualized patient care plans.
• Coordinated follow-up appointments and monitored patient adherence to treatment plans, supporting positive health outcomes.
• Addressed patient questions, concerns, and service issues promptly, enhancing patient satisfaction and trust.
• Created a welcoming and supportive environment for patients, families, and staff, contributing to a positive healthcare experience.
• Maintained strict compliance with HIPAA regulations by safeguarding patient confidentiality and sensitive information.
• Managed and updated patient information within (EHR) systems.
• Prepared, reviewed, and submitted documentation in a timely and accurate manner to ensure regulatory and organizational compliance.
• Routed clinical communications and documentation to appropriate care team members to support efficient workflow and continuity of care.
• Provided administrative and care coordination support to promote effective communication between patients and healthcare teams.

HEDIS Service Associate II - Elevance Health (Anthem) - Remote

(2023-01 - 2025-04)

• Built strong working relationships with healthcare providers through proactive communication and follow-up.
• Secured and tracked medical records from provider offices and hospitals, ensuring timely submission for quality and compliance reviews.
• Verified and updated patient and provider data to maintain accurate records and support data integrity.
• Collaborated with providers to identify and correct diagnosis coding issues, facilitating accurate claims processing and reducing delays.

Data Entry Hospital Claims Analyst - Recruiting Solutions - Remote

(2022-02 - 2023-01)

• Investigated and resolved denied medical claims while ensuring regulatory compliance and accuracy.
• Reviewed documentation to support successful claim appeals and timely resolutions.
• Processed appeals and communicated claim decisions to healthcare providers.
• Researched claim denials by contacting hospitals and provider offices for clarification.
• Utilized claims management software to track claims and appeal activity.
• Monitored filing deadlines to ensure timely claim resubmissions and appeals.
• Applied knowledge of Medicare, Medicaid, commercial insurance, HIPAA regulations, and medical terminology to support accurate claims processing.

Customer Service Representative - Sitel - Spartanburg, SC

(2016-01 - 2021-12)

• Provided outstanding customer support by resolving customer concerns efficiently while maintaining a high level of satisfaction.
• Managed high-volume customer communications across multiple channels, consistently meeting or surpassing key performance indicators.
• Developed strong customer rapport through effective communication, active listening, and solution-focused problem solving.
• Utilized CRM tools to accurately track customer interactions, ensuring detailed records and consistent follow-up.
• Supported onboarding and training initiatives for new representatives, contributing to improved service quality and operational effectiveness.
• Stayed informed on company products, services, policies, and promotions to deliver accurate guidance and support.
• Handled challenging customer situations with professionalism, employing conflict-resolution techniques to achieve successful outcomes.

Associate's Degree - Medical Billing & Coding - Ultimate Medical Academy (2023-10 - 2025-06)