Experienced in pharmacy operations with a focus on prescription filling and insurance billing. Analyzed account receivable denials to identify root causes, leading to enhanced accuracy in billing processes. Implemented process improvements that streamlined claims submission, resulting in timely reimbursements and reduced follow-up time. Maintained compliance with industry standards while managing sensitive health information and training staff on coding procedures.
Overview
13
13
years of professional experience
Work History
Account Receivable Denials Specialist
ClearchoiceMD
Concord
08.2025 - Current
Analyzed account receivable denials to identify root causes, enhancing the accuracy of future billing processes.
Collaborated with cross-functional teams to develop strategies for reducing denial rates, improving overall revenue cycle management.
Implemented process improvements to streamline claims submission, resulting in more timely reimbursements and decreased follow-up time.
Conducted regular audits of denied claims, ensuring compliance with policies and identifying opportunities for training and development.
Prepared detailed reports on denial trends, providing insights that informed strategic decisions and operational adjustments.
Medical Coding and Billing Specialist
Manchester Ob/ Gyn Associates
Manchester
02.2022 - 05.2025
Analyzed medical records and coded diagnoses accurately, ensuring compliance with industry standards and regulations.
Processed and submitted insurance claims efficiently, resulting in reduced turnaround time and improved reimbursement rates.
Maintained patient confidentiality while managing sensitive health information, upholding privacy regulations and organizational policies.
Collaborated with healthcare providers to clarify coding discrepancies, enhancing accuracy and minimizing claim denials.
Trained new staff on coding procedures and billing software, fostering a knowledgeable team and improving overall efficiency.
Stayed current with changes in coding guidelines and billing regulations, ensuring organizational compliance and high-quality service.
Researched denied claims to determine the cause of denial and corrected errors as needed.
Pharmacy Technician III Billing Specialist at Chickasaw Nation Medical CenterPharmacy Technician III Billing Specialist at Chickasaw Nation Medical Center