Natasha Hamilton
Sterrett,AL
Summary
Results-driven Revenue Cycle & Underpayments Analyst with 12+ years of experience validating hospital accounts, analyzing claims reimbursement variances, and driving revenue recovery. Proven ability to research underpaid claims, confirm expected reimbursement, and document appeals and claim resubmissions for resolution. Skilled in root-cause analysis to prevent future denials and underpayments while exceeding benchmarks for accuracy and productivity. Proficient in Epic, Soarian, Brightree, IDX, Experian, payer portals, and clearinghouses. Advanced in Excel (VLOOKUP, Pivot Tables) with strong communication skills for presenting findings to leadership.
Overview
7
7
years of professional experience
Work History
Claims Denial / Underpayments Analyst
Stateserv
09.2023 - 03.2025
- Validated and reviewed high-dollar hospital accounts in Epic work queues, ensuring reimbursement accuracy and identifying A/R underpayment opportunities.
- Researched payer contracts and reimbursement policies, documenting claim discrepancies for appeals and corrected claim submissions.
- Resolved underpayments by analyzing payer feedback, updating CPT/ICD-10 codes, and processing corrections through payer portals and clearinghouses.
- Partnered with cross-functional teams to implement denial prevention strategies, reducing denials by 30% and improving first-pass claim acceptance by 20%.
- Ensured HIPAA compliance and payer regulatory adherence while tracking reimbursement timelines and reporting recovery outcomes.
Senior Medical Claims Specialist
University of Alabama at Birmingham
06.2019 - 09.2023
- Processed and analyzed high-dollar claims ($20,000+), validating reimbursement accuracy, coding, and compliance with payer policies.
- Conducted underpayment reviews, identified discrepancies, and escalated recoverable A/R opportunities to leadership.
- Researched and resolved COB, subrogation, appeals, and claim resubmissions to maximize revenue recovery.
- Generated variance, reimbursement, and denial trend reports, reducing resolution time by 15% through data-driven insights.
- Collaborated with providers and payers to resolve claim disputes, ensuring accurate billing, collections, and payment posting adjustments.
Insurance Representative
Blue Cross Blue Shield of Alabama
09.2018 - 06.2019
- Managed 550+ weekly claims inquiries with 100% accuracy, resolving discrepancies, denials, and underpayments.
- Applied payer policies to ensure correct reimbursement outcomes, including adjustments, refunds, and corrected claims.
- Delivered exceptional customer service by explaining billing and claims resolution processes to providers and members.
Education
Associate's Degree - Finance
Jefferson State Community College
05.2024
Skills
- Revenue Cycle Management (RCM)
- Underpayment & Variance Analysis
- Accounts Receivable (A/R)
- Claim Validation
- Billing & Collections
- Appeals & Follow-up
- Denials Prevention & Resolution
- CPT
- ICD-10
- HCPCS
- DRG Familiarity
- HIPAA Compliance
- Prior Authorizations
- Contract & Reimbursement Review
- Claim Corrections & Resubmissions
- Refunds & Adjustments
- Patient Accounting Systems
- Clearinghouse Portals
Timeline
Claims Denial / Underpayments Analyst
Stateserv
09.2023 - 03.2025
Senior Medical Claims Specialist
University of Alabama at Birmingham
06.2019 - 09.2023
Insurance Representative
Blue Cross Blue Shield of Alabama
09.2018 - 06.2019
Associate's Degree - Finance
Jefferson State Community College