Open To Work
Steven "Brady" Wing
Grove City,OH
Work Preference
Summary
Experienced Medicare Part B Claims Appeals Specialist with a strong focus on claims adjudication, regulatory compliance, and appeals processing. Proven ability to analyze complex claims issues and collaborate effectively with insurance carriers to drive resolution.
Overview
12
12
years of professional experience
Work History
Medicare Part B Claims Appeals Specialist
Palmetto GBA, LLC
Columbia, SC
02.2014 - 06.2026
- Identified reasons behind denied claims and collaborated with insurance carriers to resolve issues promptly.
- Analyzed medical records to determine if further information was needed in order to process appeals.
- Coordinated with internal departments to expedite resolution of appeals.
- Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.
- Reviewed documentation for appropriate coding, identifying and correcting errors to ensure compliance.
- Ensured all documents were stored securely according to HIPAA standards.
- Examined claims, records and procedures to grant approval of coverage.
Education
High School Diploma -
Grove City High School
Grove City, OH06-1994
High School Diploma -
Paul C. Hayes Technical School
Grove City, OH06-1994
Skills
- Appeals processing
- Claims adjudication
- Medicare policies
- Regulatory compliance
- HIPAA compliance
- Claims adjustment
- Coverage determination
- Document review
- Data entry accuracy
- Risk assessment
- Strong analytical skills
- Research skills
Accomplishments
- 2006-2008 Dart award winner
Affiliations
- Volunteer at the Mid-Ohio Food Bank
Timeline
Medicare Part B Claims Appeals Specialist
Palmetto GBA, LLC
02.2014 - 06.2026
High School Diploma -
Grove City High School
High School Diploma -
Paul C. Hayes Technical School