Denials Specialist
Optum
06.2019 - Current
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Optimized workflows within the team by assigning tasks based on individual strengths and expertise in particular payers or denial reasons.
- Trained new employees on denial management best practices, fostering a knowledgeable and efficient workforce.
- Streamlined communication between departments, facilitating faster resolution of denied claims.
- Identified root cause of denials to provide plans for denial resolution.
- Collaborated with billing department staff to ensure accurate coding and charge entry, minimizing future claim denials.
- Optimized workflow processes to improve team's ability to manage high volumes of claims.
