
Detail-oriented professional skilled in claims management and patient scheduling. Effective collaborator with a strong ability to resolve denied claims and improve reimbursement processes, driving operational efficiency within healthcare settings.
● Managed insurance collections through claim status calls, appeals, and account reviews to secure timely reimbursement.
● Resolved unpaid or denied claims through diligent follow-up with insurance carriers.
● Prepared and submitted detailed appeals for denied medical claims.
● Reviewed pre-bill claim holds to ensure clean claim submission.
● Corrected claims billed to incorrect insurance carriers.
● Verified authorizations were attached before claim submission.
● Provided support to financial counselors by addressing patient insurance and billing inquiries.
● Responded promptly to insurance company requests for additional information.
● Identified reimbursement trends and proposed process improvements in collaboration with leadership.
● Maintained productivity and quality standards established by management.