Detail-oriented professional with a proven track record in claims resolution, regulatory compliance, and policy analysis. Committed to enhancing customer engagement and streamlining processes for improved team performance.
Overview
13
13
years of professional experience
Work History
Insurance Specialist Team Lead
Texas Oncology
Austin, TX
02.2021 - 08.2025
Coordinated team success by conducting thorough research on topics relevant to invoice completion.
Implemented strategies for timely email reviews, fostering improved collaboration among departments.
Assessed and confirmed daily write-off requests for invoices submitted by team members, maintaining accuracy and accountability.
Collaborated with management to identify and assess payer trends and issues, aimed at reducing claim denials.
Facilitated timely payment processing by meticulously reviewing patient stay spreadsheets and preparing comprehensive reports for hospital review.
Office Manager
Richard Family Chiropractic
Austin, TX
08.2014 - 08.2020
Oversaw patient scheduling and managed copayment collection processes. Developed and submitted medical claims to insurance providers, ensuring compliance with regulations.
Processed payments received from insurance companies and addressed denied claims to ensure timely payment collection.
Conducted thorough insurance verifications and managed pre-certifications and pre-authorizations to streamline patient care processes.
Executed accurate maintenance of medical records and charting, prioritizing confidentiality and regulatory compliance.
Office Manager
New Health Medical
Torrance, CA
03.2012 - 05.2014
Oversaw patient scheduling and managed copayment collection processes.
Directed patients to exam rooms,fielded questions and prepared for physicians examination.
Employed effective communication strategies to optimize operations, resulting in improved staff coordination and reduced patient wait times.
Trained administrative staff, enhancing team performance and service delivery.
Implemented effective communication strategies to enhance operational efficiency.