Resourceful Denials Coordinator known for high productivity and efficient task completion. Possess specialized skills in claims analysis, appeal process management, and healthcare revenue cycle understanding. Excel in communication, problem-solving, and organizational abilities, ensuring smooth operations and effective denial resolution.
Overview
8
8
years of professional experience
Work History
Business Analyst
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma
09.2022 - Current
Identified opportunities for cost savings through process automation initiatives.
Developed strategies to improve collection rates on denied claims.
Assisted with development of policies and procedures related to claim denials.
Reconciled payments from insurance companies against expected reimbursements based on contract terms.
Monitored accounts receivable aging report for unpaid denied claims.
Reviewed denied claims to determine the cause of denial and researched any discrepancies.
Processed appeals for rejected or underpaid claims in a timely manner.
Evaluated business processes for improvement opportunities through automation or streamlining.
Analyzed existing systems and processes to identify areas of improvement.
Exercise Physiologist
WeightWise
Edmond
06.2019 - 09.2022
Created individualized home exercise programs for bariatric patients to improve health and wellness
Used physical testing equipment such as VO2MAX, surface EMG, ECG, balance and gas analysis systems
Administered non-invasive cardiopulmonary tests (CPET/CPX), pulmonary function tests, and resting metabolic tests to patients under care of multiple physicians
Actively oversaw patient activities, medical records and execution of physician orders.
Exercise Physiologist
Oklahoma Heart Hospital
Oklahoma City, Oklahoma
05.2016 - 04.2019
Administered cardiac stress testing to patients as part of cardiology practice.
Worked closely with cardiac and pulmonary rehab patients in a clinical setting to promote healthy exercise regimes for recovery from major health events.
Educated patients and family members on cardiac rehabilitation.
Explained program testing procedures related to examining cardiovascular diseases and conditions.
Apply strong nutritional knowledge to individualized, proactive lifestyle guidance for patients pursuing health and recovery from cardiovascular conditions.
Conducted exercise stress tests for patients of varying ages to identify arrhythmias.