Organized and dependable candidate successful at managing multiple priorities with a positive attitude and willing to take on additional responsibility to help meet team goals.
Overview
7
7
years of professional experience
Work History
Underpayment Analyst
Revecore
09.2020 - Current
Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
Managed time efficiently in order to complete all tasks within deadlines.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Utilize and navigate different client systems.
Maintained confidentiality of patient information in accordance with HIPAA guidelines and professional ethical standards.
Assisted with training new hires on company policies, procedures, and best practices for claims handling to ensure a smooth transition into the role.
Demonstrates proficiency in Word and Excel.
Identified trends in payer denials or coding errors, implementing corrective actions for other claims.
Created successful appeals for denials, recovering lost revenue for the organizations.
Proven ability to learn quickly and adapt to new business policies and procedures.
Met and exceeded department expectations each month.
Healthcare Receivables Specialist 2
Xtend Healthcare
06.2018 - 09.2020
Utilized and navigated through different client systems.
Managed high volume of daily tasks while maintaining attention to detail and accuracy in all areas of responsibility.
Maintained compliance with HIPAA regulations, ensuring proper handling of sensitive patient data during the billing process.
Negotiated payment arrangements with self-pay patients, offering flexible solutions that aligned with their financial capabilities.
Promoted a positive patient experience, addressing concerns and resolving issues related to billing or insurance coverage.
Assisted patients in understanding their financial responsibilities, guiding them through available payment options and resources.
Claims Intake Specialist
Quality Resource Management
06.2017 - 11.2017
Claims Intake for workers comp, auto, and property.
Utilized and navigated several different client systems.
Managed a high volume of incoming calls from policyholders, demonstrating excellent communication skills and empathy during stressful situations.
Enhanced claims processing efficiency by streamlining intake procedures and documentation requirements.
Demonstrated adaptability by quickly learning updates to company policies or software changes affecting the claims process.