LeaRasha Harris

Claims Specialist with 7+ years of experience in medical billing, process improvement, and critical thinking. Proven track record in optimizing payment processes and maintaining high customer satisfaction levels through effective communication and problem-solving skills. Adept at handling complex claims, insurance verification, and appointment scheduling, with a commitment to enhancing healthcare operations. Informed providers of denied authorizations, ensuring compliance with protocols and criteria. Conducted thorough medical reviews for prior authorization requests, enhancing approval accuracy. Verified insurance eligibility pre-appointment, optimizing payment processes. Handled customer complaints with a positive attitude, maintaining high satisfaction levels. Scheduled peer-to-peer reviews for physicians, facilitating discussions on medical necessity. Handled customer inquiries via multiple channels, ensuring satisfaction and professional support. Processed orders, forms, and applications, maintaining accurate records of all transactions. Resolved customer complaints efficiently, enhancing overall customer experience. Maintained a positive and empathetic attitude, fostering customer loyalty and trust. Handled incoming calls from healthcare providers, patients, and insurance carriers, resolving claim issues. Assisted customers with claim processing, verifying patient info, coding procedures, and submitting claims. Provided detailed information on insurance coverage, benefits, deductibles, and out-of-pocket expenses. Investigated and resolved claim discrepancies, coding errors, and denials, ensuring accurate adjudication. Reviewed and adjudicated claims based on policies, agreements, and guidelines, determining reimbursement eligibility.