Malaika Ali
Mobile,AL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Insurance Follow-Up Specialist
Infirmary Health Systems
Mobile, AL
11.2022 - Current
- Identified and corrected errors related to billing, coding, and reimbursement from insurance companies.
- Reviewed patient accounts and updated insurance information in the system.
- Followed up with insurance carriers regarding claim status of unpaid or rejected claims.
- Assisted patients with inquiries regarding their medical bills.
- Researched and resolved insurance discrepancies for Internal Medicine, Gastroenterology, Neurology, Pulmonology, and Sleep Medicine.
- Utilized EPIC software
- Initiated appeals when necessary for denied or underpaid claims as required by contract guidelines.
Insurance Verification Specialist
Rheumatology Associates - Dallas
Dallas, TX
03.2022 - 10.2022
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Navigated through multiple online systems to obtain documentation.
Insurance Customer Service Representative
Humana
Irving, TX
03.2019 - 03.2022
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted with resolving complex claims or billing disputes in a timely manner.
- Asked probing questions and offered solutions to resolve customer issues.
- Assisted claimants, providers and clients with problems or questions regarding claims.
Education
High School Diploma -
Murphy High School
Mobile, AL05-2013
Skills
- Medical billing proficiency
- Insurance Verification
- Billing Adjustments and Refunds
- HIPAA Compliance
- Medical Terminology Proficiency
- Insurance Terminology
- Skilled In EPIC
- Conflict resolution abilities
Timeline
Insurance Follow-Up Specialist
Infirmary Health Systems
11.2022 - Current
Insurance Verification Specialist
Rheumatology Associates - Dallas
03.2022 - 10.2022
Insurance Customer Service Representative
Humana
03.2019 - 03.2022
High School Diploma -
Murphy High School