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Nastasha Snowden

Nastasha Snowden

Member & Claims Specialist

Talent
SpringMember since July 16, 2026
Medical Billing & Coding (ICD-10, CPT, HCPCS)Claims Processing & AppealsRevenue Cycle ManagementPatient/Member SupportInsurance VerificationPrior AuthorizationsCRM & EHR SystemsCustomer Support & VA Services
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Medical Billing & Coding (ICD-10, CPT, HCPCS)Claims Processing & AppealsRevenue Cycle ManagementPatient/Member SupportInsurance Verification

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)

Skills

Member & Claims Specialist

Reviews