Sharon Wiggins
Savannah,GA
Summary
Professional Denial Specialist with 25 years of processing healthcare disputes, and denials and reviewing facts of each case.
Proficient in a plethora of Medical Hospital Management systems. Communicate positively with other team members, respect patients' dignity and confidentiality in accordance with HIPPAA regulations.
Overview
8
8
years of professional experience
Work History
Insurance Verification Representative
Gastroenterology Consultants Of Savannah
09.2023 - 06.2024
- Contributed to office productivity by managing high volumes of inbound calls for insurance verifications.
- Enhanced customer satisfaction with prompt and accurate insurance verifications for medical services.
- Prevented revenue loss by identifying potential coverage issues and informing appropriate parties in a timely manner.
- Facilitated timely patient care by verifying insurance benefits prior to appointments.
Patient Account Representative
St. Joseph's Candler Hospital
05.2022 - 09.2023
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
Revenue Cycle Support Denial Specialist
HCA Parallon Physician Services
02.2018 - 05.2022
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Optimized workflows within the team by assigning tasks based on individual strengths and expertise in particular payers or denial reasons.
- Maintained up-to-date knowledge of industry trends and best practices in denial management, ensuring the organization''s processes remained competitive and effective.
Insurance Collector
MPPG, INC
10.2016 - 01.2018
- Enhanced client relationships by providing exceptional service throughout the collections process.
- Prepared detailed reports on collection activities and account statuses for management review, enabling data-driven decision making within the department.
- Implemented effective strategies to locate hard-to-reach clients, increasing overall recovery rates for delinquent accounts.
- Negotiated payment arrangements with clients, promoting a positive experience and increasing successful account settlements.
Education
High School Diploma -
Savannah High School
Savannah, GA05.1979
Skills
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Follow-up skills
- Accuracy and Precision
- Customer Service
- Coverage and Authorizations
- Patient Communication
- Data Entry and Review
- Electronic Medical Records
- Patient confidentiality
- Medical Terminology
- Data entry proficiency
- Insurance Billing
- Insurance Coverage Verification
- Medicaid knowledge
Timeline
Insurance Verification Representative
Gastroenterology Consultants Of Savannah
09.2023 - 06.2024
Patient Account Representative
St. Joseph's Candler Hospital
05.2022 - 09.2023
Revenue Cycle Support Denial Specialist
HCA Parallon Physician Services
02.2018 - 05.2022
Insurance Collector
MPPG, INC
10.2016 - 01.2018
High School Diploma -
Savannah High School
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