Alesha Collins
Lexington,KY
Summary
Detail-oriented Professional skilled in claims analysis and denial management. Reviews and processes claims to ensure compliance with policies, while effectively communicating with healthcare providers and insurance companies. Committed to maintaining accurate records and identifying trends for continuous process improvement.
Detail-oriented Individual with expertise in claims analysis and denial management. Effectively collaborates with healthcare providers to ensure accurate documentation for appeals. Committed to compliance with HIPAA standards and continuous process improvement.
Motivated individual with strong problem-solving and communication strengths. Demonstrates reliability and initiative in tackling new challenges. Eager to contribute positively to team objectives and foster a collaborative work environment.
Overview
2
2
years of professional experience
Work History
Denial Specialist
Addition Recovery Care (ARC)
Remote
03.2024 - 10.2024
- Reviewed and processed denial claims to ensure compliance with policies and procedures.
- Collaborated with healthcare providers to gather necessary documentation for appeal submissions.
- Adherence to HIPAA requirements
- Familiarity with CPT, ICD coding
- Organization and documentation skills to ensure timely follow-up and accurate record keeping.
- Analyzed denial trends to identify areas for process improvement and training opportunities.
- Communicated effectively with insurance companies to resolve billing discrepancies and appeals.
- Maintained accurate records of denied claims and follow-up actions taken for resolution.
Claims Resolution Specialist
Select Medical
Remote
11.2022 - 02.2024
- Analyzed and resolved complex claims inquiries efficiently.
- Collaborated with healthcare providers to gather necessary documentation.
- Processed claims using proprietary software to ensure accuracy.
- Liaised between patients and insurance companies for effective communication.
- Updated claim statuses in the database, maintaining data integrity.
- Identified trends in claim denials to recommend process improvements.
- Educated clients on claim procedures and benefits eligibility requirements.
- Spearheaded training initiatives for newer team members, fostering a positive work environment and promoting professional growth.
Education
High School Diploma -
Pikeville High School
PikevillePhlebotomy -
KY Healthcare Training
Lexington, KYBilling, Coding, And Medical Assistant -
U.S. Career Institute
Fort Collins, COSkills
- Eligibility determination
- Appeals processing
- Medicaid guidelines
- ICD-10 proficiency
- HIPAA compliance
- Claims analysis
- Insurance verification
- Denial management
- Medical billing
- Payment posting
- Medical coding
- Teamwork
Timeline
Denial Specialist
Addition Recovery Care (ARC)
03.2024 - 10.2024
Claims Resolution Specialist
Select Medical
11.2022 - 02.2024
High School Diploma -
Pikeville High School
Phlebotomy -
KY Healthcare Training
Billing, Coding, And Medical Assistant -
U.S. Career Institute