Misty Womack

Manager Medical Claim Analyst/Adjudicator with extensive 28-year history in medical claim processing. Working denial/audits Pharmacy LTC, Managed Care carve out claims. DME supply claims across multiple states, obtaining prior authorizations, and speaking to clinical staff to ensure we were supplying correct orders ahead of admissions. Expert in leveraging data analytics for process enhancements and supporting rigorous compliance with Medicare and Medicaid regulations. Proven leader in developing training programs that elevate team performance and perfect claims processes. Created onboarding materials for DME training/Medicare Part B training. Collaborated with new associates through training, supplying knowledge transfer and guidance. Experienced Supervisor leads team members to complete jobs on-time. Assigns tasks, trains employees, and implements company procedures. Excellent communication and listening skills. Provides leadership and vision, driving teams to meet goals. Energetic Supervisor successful at motivating and building positive team dynamics to accomplish aggressive goals. Dedicated to open, communicative culture where employees feel empowered to contribute to company's success. Accomplished Supervisor focused on meeting customer expectations and achieving company goals. Drives success by directing high-producing teams while developing lasting employee rapport. Exceptional knowledge of cost-reduction methods and streamlining production processes.