Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
7
7
years of professional experience
Work History
Denial Specialist
Aspirion Health Resources
04.2021 - Current
Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
Identified root cause of denials to provide plans for denial resolution.
Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
Resolved medical claims by approving or denying documentation, calculating benefit due and initiating payment or composing denial letter.
Medical Billing and Collections Specialist
Allegiance Health Management-Avoyelles Hospital
05.2017 - 04.2021
Filed and submitted insurance claims.
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Answered phone calls, responding to basic questions regarding appointments and clinic operations and directing calls within clinic as appropriate.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Applied HIPAA privacy and security regulations while handling patient information.
Prepared and submitted claims to insurance companies electronically and manually.