Gloria Grier
Charlotte,NC
Summary
Proven Medical Claims Specialist with a track record of enhancing claim processing efficiency and reducing errors for Meduit. Expert in Medicare regulations and ICD-10, with a keen eye for detail and a strong ability to streamline workflows. Skilled in navigating HIPAA guidelines, ensuring maximum reimbursement and minimizing collection issues.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Claims Specialist
Meduit
03.2009 - 07.2024
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Collaborated with interdisciplinary teams to ensure smooth processing and accurate reimbursement of medical claims.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Education
Healthcare Certification
Central Piedmont Community College
Charlotte, NC06.2008
Skills
- Medicare Expertise
- HIPAA Knowledge
- ICD-10 Proficiency
- Claims Processing
Certification
HIPAA Awareness Training Course 2024
Timeline
Medical Claims Specialist
Meduit
03.2009 - 07.2024
Healthcare Certification
Central Piedmont Community College
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