Genevieve Delk

• Coordinated reimbursement processes to ensure timely and accurate claims submission.
• Analyzed claim denials to identify trends and recommend corrective actions.
• Collaborated with healthcare providers to resolve billing discrepancies efficiently.
• Developed training materials for staff on reimbursement policies and procedures.
• Streamlined documentation processes to enhance compliance with regulatory requirements.
• Led initiatives to improve reimbursement turnaround times through process optimization.
• Contributed to successful appeals efforts by compiling necessary documentation and presenting persuasive arguments on behalf of patients or providers seeking coverage reconsideration from insurers.
• Established strong relationships with payer representatives, fostering open communication channels that facilitated problem resolution and expedited claim approvals.
• Improved reimbursement rates with regular audits of insurance contracts to ensure compliance and proper coding practices.
• Managed high-volume workloads through effective prioritization and organization, consistently meeting deadlines while maintaining accurate records.
• Streamlined patient eligibility verification processes, resulting in reduced wait times for service authorization approvals.
• Maintained up-to-date knowledge of industry regulations, ensuring compliance with all applicable laws and guidelines.
• Collaborated closely with medical coders to ensure accurate representation of services provided, resulting in optimized reimbursement potential.
• Prevented delays and claim denials by correcting information prior to submission.
• Coordinated with insurance providers to verify customer's policy benefits in relation to claims.

Reimbursement advocate II- Obtain documents needed to bill insurance company for oxygen equipment. This is performed making calls to patient, doctor's offices, and hospitals. Reviewing paperwork to make sure it is correct then submit claim to insurance company.

• Improved operations through consistent hard work and dedication
• Adhered to social distancing protocols and wore mask or face shield
• Used Microsoft Word and other software tools to create documents and other communications

Suspended billing Lead- Managed 8-10 employees that obtained required paperwork need to bill DME equipment to patient's insurance company.

• Developed and implemented performance improvement strategies and plans to promote continuous improvement
• Used Microsoft Word and other software tools to create documents and other communications
• Improved operations through consistent hard work and dedication

• Restocked and organized merchandise in front lanes
• Helped customers complete purchases, locate items and join reward programs
• Performed cash, card and check transactions to complete customer purchases