Shanique Simpson

• Coordinate patient intake, insurance verification, and appointment scheduling, ensuring accurate demographic and billing data in EPIC.
• Submit and monitor medical claims for reimbursement, adhering to payer guidelines, billing protocols, and coding standards.
• Audit and revise claim documentation to ensure compliance and reduce denials, rework, or processing delays.
• Serve as a liaison between healthcare providers and insurers to resolve discrepancies and clarify coverage issues.
• Uphold HIPAA regulations and safeguard patient confidentiality across all interactions and record-keeping.
• Partner with clinical and administrative staff to streamline operations and improve overall patient service delivery.

Verified client information by reviewing and

analyzing existing documentation on file.

Evaluated and determined the outcome of bank

claims, deciding whether to approve or deny

payments.

Utilized specialized software to process incoming

claims, input data, and generate detailed reports.

Ensured compliance with regulations and

guidelines related to claims processing.

maintaining high quality and adherence to industry standards.