Detail-oriented Fitness Reimbursement Analyst with a proven track record in claims analysis and payment processing. Committed to ensuring HIPAA compliance while supporting team training initiatives.
Overview
9
9
years of professional experience
Work History
Fitness Reimbursement Analyst
American Specialty Health
Carmel, Indiana
05.2017 - Current
Analyzes reimbursement claims for accuracy and compliance with policies.
Assistes in processing payment requests to ensure timely reimbursements.
Maintains organized records of claims and payments for audit purposes.
Supports team members with training on reimbursement procedures and guidelines.
Utilize software systems to track status of reimbursement requests efficiently.
Maintains confidentiality and integrity of patient data.
Manages multiple tasks simultaneously while meeting tight deadlines.
Researches rejections, investigating problems to appeal claims.
Performs audits of invoices submitted by healthcare providers for payment processing.
Participates in meetings with department heads concerning reimbursement policies and procedures.
Education
Bachelor of Science - Management Science
University of Phoenix
Tempe, AZ
05-2019
Skills
Claims analysis
Reimbursement policies
Payment processing
Attention to detail
Team collaboration
Time management
Problem solving
Critical thinking
Claims processing
Microsoft Excel proficiency
HIPAA compliance
Medicaid
Team building
Accomplishments
Four time award winner for top producer years 2018, 2019, 2021, and 2024. Many kudos received and also top finalist for year of 2020. Award for being available to assist with supervisor roles assisting examiners.