Kanisha White

• Submit clean claims, ensuring timely resolution of account balances with insurance firms.
• Collaborate with RCM team to streamline billing processes and address patient concerns.
• Track and manage claims efficiently, achieving measurable improvements in revenue collection.
• Request refunds and perform rebills, enhancing financial accuracy and accountability.
• Engage with health center management to resolve billing issues, fostering a supportive environment.
• Implement strategic billing protocols and conduct thorough insurance follow-ups to optimize revenue collection and minimize outstanding balances.
• Facilitate seamless coordination between healthcare providers and insurance companies while ensuring compliance with billing regulations.

• Resolved unpaid insurance claims through insurer communication, enhancing claim settlement speed.
• Corrected billing errors from EOBs, improving accuracy and reducing processing delays.
• Escalated problematic accounts, ensuring timely resolution and maintaining account integrity.
• Streamlined insurance claim resolution processes by implementing systematic tracking methods and coordinating with providers to expedite payments.

• Monitor insurance claims by contacting insurance companies to resolve claims that are not paid in a timely manner.

• Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.

• Identify problem accounts and escalate as appropriate.

• Update the patient account record to identify actions taken on the account. Analyzed EOB documentation to identify and rectify coding discrepancies, ensuring accurate billing processes and minimizing claim rejections

• Entered clinic data accurately, ensuring compliance with standards.
• Reviewed and posted payments, maintaining precise account records.
• Resolved complex billing issues, enhancing process efficiency.
• Documented findings meticulously, upholding confidentiality.
• Contributed to improved data integrity and patient record security.
• Processed and reconciled complex medical payments while maintaining accurate documentation and ensuring data integrity in billing systems
• Streamlined payment posting workflows by implementing efficient documentation practices, reducing processing time while maintaining accuracy

• Advised patients on claims, boosting understanding and satisfaction.
• Ensured timely resolutions, enhancing service efficiency.
• Processed refunds accurately, maintaining financial integrity.
• Communicated effectively with stakeholders, fostering trust.
• Conducted thorough research and follow-up for internal and external stakeholders, maintaining high standards of accuracy in claims documentation and processing
• Streamlined refund processing procedures while maintaining compliance with healthcare billing regulations and institutional policies

• Processed authorizations, ensuring compliance and boosting efficiency.
• Educated on drug authorizations, enhancing understanding among members.
• Resolved inquiries via phone, improving customer satisfaction.
• Escalated issues quickly, ensuring prompt resolution.
• Collaborated effectively, fostering a supportive team environment.
• Enhanced member satisfaction through expert guidance on authorization procedures and non-formulary drug processes, reducing escalation rates.
• Managed critical healthcare documentation while identifying and resolving customer service challenges through systematic problem-solving approaches.