Nastasha Snowden
Member & Claims Specialist
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About
Dedicated healthcare and administrative professional with 10+ years of experience in medical billing, claims management, member support, and high-volume customer service. Strong expertise in ICD-10, CPT, HCPCS, claims analysis, and revenue cycle optimization. Proven success supporting 60–80+ members daily with accuracy, empathy, and compliance. Currently pursuing a B.S. in Health Information Technology to expand capabilities in documentation integrity, compliance, and healthcare analytics.
Experience
Member & Claims Specialist at Alignment Healthcare (2024-10 – Present)
- Assist Medicare Advantage members with claims questions, coverage clarification, provider changes, and service coordination, supporting 60–80+ members daily.
- Review and resolve claim denials, discrepancies, and billing issues following CMS and organizational policies.
- Educate members on plan benefits, eligibility, costs, and available programs to improve understanding and satisfaction.
- Document all interactions accurately to support compliance, continuity of care, and audit readiness.
- Coordinate with providers, claims teams, and utilization management to resolve escalated concerns.
- Support grievances, appeals, and disenrollment requests in alignment with CMS regulations.
- Deliver high-quality service in a fast-paced environment, ensuring accuracy, empathy, and timely follow-up.
Support Administrator at Tessco Technologies (2020-01 – 2024-10)
- Served as the primary point of contact for 50–70+ customer inquiries daily.
- Processed quotes and orders accurately while maintaining strict SLA timelines.
- Collaborated with sales and operations teams to resolve customer issues and maintain account satisfaction.
- Prepared reports and supported special projects to enhance workflow efficiency.
Sales Administrator at Aitech Defense Systems (2016-01 – 2020-01)
- Processed quotes, proposals, and regulated documentation including W‑9, ITAR, and UTAR filings.
- Coordinated schedules, tracked deliverables, and supported finance operations.
- Managed purchase orders, RMAs, and NDAs ensuring accuracy and compliance.
Project Coordinator at OPI Cosmetics (2013-12 – 2016-01)
- Oversaw back orders and escalated production issues, improving on-time delivery rates.
- Led weekly past‑due meetings addressing aging orders and workflow bottlenecks.
- Strengthened client relationships through proactive communication and issue resolution.
Referrals Specialist at One Call Medical (2011-01 – 2013-12)
- Handled 200+ daily inbound calls from patients, adjusters, and medical providers.
- Created and maintained 350+ patient files with 99% accuracy.
- Scheduled appointments, verified authorizations, and ensured compliance with insurance protocols.
Education
B.S. in Health Information Technology – Devry Institute (2026)
Certification in Medical Billing & Coding – Cal Regional
A.A. in Business Administration – Pierce College (2003)
Certification in Massage Therapist – Bryman College (2002)
