Results-driven professional passionate about leading teams, supporting clients, and delivering quality results that drive company growth and long-term success.
Overview
11
11
years of professional experience
Work History
Denials Specialist
Healthcare Partners Investments
06.2024 - Current
Investigated claim denials, determining root causes and implementing strategies for successful resolution.
Prepared and filed disputes with insurance carriers to challenge denials and recover reimbursement.
Reviewed, revised, and resubmitted denied claims to recover reimbursement and minimize aged receivables.
Ensured compliance by staying knowledgeable on insurance policies, eligibility requirements, and verification processes.
Maintained thorough documentation of medical claim actions through detailed forms, reports, and system records.
Claims Supervisor
Integra Partners
02.2020 - 06.2023
Managed daily operations of the claims team while monitoring productivity to ensure accuracy and efficiency.
Collaborated across departments to support and complete high-impact organizational initiatives.
Collaborated with healthcare providers and insurance companies to resolve escalated issues efficiently.
Contributed to process improvements and training material development to enhance team efficiency and consistency.
Generated and analyzed provider inquiry and team performance reports to identify trends and improvement opportunities.
Billing Team Lead
The Great Plains Laboratory
03.2017 - 03.2019
Managed day-to-day billing operations, optimizing processes to improve accuracy and operational efficiency.
Managed and resolved multifaceted concerns involving patients, healthcare practitioners, and insurance companies.
Assisted in training new and existing team members on departmental processes and best practices.
Managed a high volume of collections accounts, insurance claims, and payment processing with accuracy and efficiency.
Responded to high-priority escalated calls, delivering timely solutions to critical issues.
Customer Support Supervisor
Domino's
07.2014 - 01.2017
Resolved critical customer escalations via phone, email, mail, and social media, maintaining service quality and satisfaction.
Generated and analyzed reports on customer concern trends to identify process improvements and enhance team performance.
Contributed to interdepartmental projects, with a key role in supporting the rewards program launch and operations.
Contributed to the design of workflows and preparation of training resources for new and existing team members.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.