DAJOUNA BROWN
McDonough,GA
Summary
Reimbursement Specialist with over 9 years of experience in data analysis, claims investigation, and auditing. Demonstrates a keen ability to identify trends and implement strategies that enhance reimbursement accuracy and process efficiency. Passionate about leveraging skills in billing and coding to drive improvements and foster a culture of collaboration and innovation within cross-functional teams.
Overview
11
11
years of professional experience
Work History
Accounts Receivable Coordinator
Savista
Alpharetta, Georgia
05.2024 - 05.2025
- Conducted periodic reviews of delinquent accounts and initiated appropriate action based on company policies.
- Investigated past due accounts and contacted customers to arrange payment plans when necessary.
- Generated monthly financial statements for review by management team members.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Ensured that the most current version of provider contracts were stored in the database.
- Conducted regular audits of patient accounts for accuracy of demographic data.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Kept abreast of changes in federal and state laws affecting collections processes; updated procedures accordingly within the organization.
SENIOR AR COORDINATOR
Modern OBYN Georgia
02.2021 - 08.2023
- Managed denial and appeal records, ensuring accurate reimbursement tracking.
- Identified trends for enhanced reimbursement strategies, boosting financial accuracy.
- Collaborated with claims department to refine policies, improving process efficiency.
- Investigated high-value claims, resolving discrepancies with precision.
- Reviewed and resolved insurance credits/debits efficiently, ensuring timely settlements.
- Partnered with cross-functional teams to address client concerns, fostering a culture of teamwork that improved response times and outcomes.
- Mentored junior team members on best practices in claims processing, contributing to their professional growth and boosting overall team performance.
- Conducted thorough reviews of claims documentation, ensuring compliance with regulatory standards and enhancing accuracy in submissions.
- Prepared and reviewed insurance claim forms and related documents.
- Modified and updated existing policies and claims to reflect change in coverage and type of insurance.
- Assisted the AR cycle manager with specific projects with all payors.
- Posted payments from insurance/patient.
- Followed up with patient and the insurance regarding any balances on accounts.
- Appealed all necessary denials.
- Arranged payment plans for eligible accounts.
CLAIMS/APPEALS ASSOCIATE
Columbia University Revenue Dept.
Fort Lee, NJ
08.2014 - 02.2021
- Streamlined accounts receivable processes, leading to a noticeable reduction in outstanding invoices and improved cash flow.
- Analyzed payment trends and discrepancies, implementing corrective measures that enhanced accuracy and reduced processing time.
- Coordinated with cross-functional teams to resolve billing issues, fostering stronger relationships and ensuring timely payments.
- Determined variance placement and balance due on each claim.
- Provided quality customer service to assigned, insured and claimants throughout the claim process.
- Provided empathetic support to clients during claims processes, enhancing customer trust and fostering long-term relationships.
- Processed claims efficiently, achieving a reduction in resolution times and boosting overall client satisfaction.
- Analyzed claims data to identify trends, enabling proactive adjustments to processes and improving accuracy in outcomes.
- Negotiated settlements for uncomplicated claims in accordance with actual policies.
Education
Montclair State University
Skills
- Data Analysis
- Claims Investigation
- Trend Identification
- Financial Auditing
- Billing
- Workers compensation claims
- Coding
Timeline
Accounts Receivable Coordinator
Savista
05.2024 - 05.2025
SENIOR AR COORDINATOR
Modern OBYN Georgia
02.2021 - 08.2023
CLAIMS/APPEALS ASSOCIATE
Columbia University Revenue Dept.
08.2014 - 02.2021
Montclair State University