Performed contract analysis in payer portals to identify payer trends in pricing and policy, to share with our Audit Strategy Team.
Conducted root cause analysis in client's patient accounting systems to identify any underpayment variances for hospital claims.
Provided sufficient documentation of variances for our Resolution Services Group to begin the appeal and resolution effort for underpaid hospital claims.
Diagnosed the reason for any underpayment trends and communicated with the Client Delivery team on how to avoid similar trends in the future.
Identified $10.69 million of unrecovered revenue in the last twelve months for various clients.
Medical scribe - Back office manager
Vitality Health Plus - Dr. Rajendra Prasad
02.2022 - 06.2022
Accompanied the doctor for patient visits to compile A/P, H+P, and vitals into the EMR
Worked with insurance companies to coordinate patient referrals to necessary specialists
Ordered prescriptions and coordinated with pharmacies to obtain insurance authorizations for necessary medications
Organized patient scheduling for follow up appointments and arranged COVID-19 vaccinations.
Medical assistant and scribe
Elite Coastal Healthcare - Primary Care Physician
10.2021 - 02.2022
Obtained patients' vitals at the beginning of an appointment and if required administered an EKG
Compiled charts by documenting visits alongside the doctor, PA or APRN and faxed orders for further screenings based on findings to necessary specialists
For new patients, reviewed the patients' past medical history with the patient before their visit to better direct the attention of the visit.