Robin King
New Lebanon
Summary
Results-driven professional specializing in healthcare reimbursement with proven expertise in communication with insurance companies. Skilled in analyzing remittance discrepancies to identify and resolve claims efficiently. Committed to ensuring compliance and optimizing reimbursement processes.
Overview
4
4
years of professional experience
Work History
Claims Follow-up Specialist
ITX Companies
06.2022 - Current
Resolved unpaid and denied claims, facilitating timely payments to providers.
Reviewed insurance remittance EOBs and ERAs, ensuring compliance and accuracy to support timely claims processing.
Communicated with insurance companies to secure prior authorizations, facilitating claims approvals.
- Analyzed remittance discrepancies, identifying and resolving underlying claim issues to enhance payment accuracy.
- Submitted corrected claims appeals along with necessary documentation.
Education
Sinclair Community College
Dayton, OH05.2020
Skills
- Claims resolution
- Prior authorization communication
- Healthcare reimbursement
- EOB analysis
- Provider relations
- Data analysis
Timeline
Claims Follow-up Specialist
ITX Companies
06.2022 - Current
Sinclair Community College