Ariel Livas

• Used sound judgment and available resources to make well-informed decisions for case approval or denial.
• Analyzed, researched and resolved payment claims within required timeframes.
• Adhered to department processes, procedures and goal expectations for case investigations.
• Kept up to date on industry information, system changes, network rules and compliance issues.
• Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
• Identified fraudulent claims through diligent investigation and collaboration with out of country agencies when necessary.
• Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.

• Liaising between physician, patient, and insurance company.

• Monitored delinquent accounts and initiated collections actions when necessary and recovering outstanding balances.

• Collaborated with team members to achieve monthly service targets and maintain high-quality standards.

• Enhanced customer satisfaction by promptly addressing billing inquiries and resolving disputes.

• Assisted nursing staff with patient care, ensuring timely completion of tasks and improved patient satisfaction.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Managed incoming calls and directed to appropriate department.
• Maintained a clean, organized work environment for optimal efficiency in the delivery of patient care services.