Perrielle Washington

• Reviewed and processed hospital claims, prior authorizations, and member reimbursement
• Investigated claim issues including denials, duplicates, copay/deductible verification, and payment discrepancies
• Verified provider and member information to ensure accurate claim processing
• Applied knowledge of ICD-10, DRG, medical terminology, and healthcare claim guidelines

• Processed physician claims and reviewed claim documentation for accuracy
• Researched member and provider accounts to resolve claim-related issues

• Reviewed claim documents for completeness, identifying discrepancies and resolving issues promptly.

• Resolved customer inquiries through effective communication and problem-solving techniques.
• Negotiated payment arrangements with clients, fostering positive relationships while securing debt repayment.
• Managed order processing and ensured accurate entry into CRM systems.