Tabitha Jensen
Toms River,NJ
Summary
Professional Claims Reimbursement Analyst with focus on reimbursement processes and financial compliance. Adept at expediting reimbursement workflows and resolving complex billing issues and gaining financial recovery. Known for collaborative approach and commitment to achieving results. Valued for reliability, accuracy, and effective communication.
- Appeal submissions
- Claim audits
- Revenue recovery
- Managed Care and Commercial claim experience
- SNF and Custodial claim experience
Overview
5
5
years of professional experience
Work History
Managed Care Claim Reimbursement Analyst
Guided Care
02.2022 - 11.2025
- Collaborated with healthcare providers to resolve billing discrepancies and improve claim submission processes.
- Conducted audits on claim submissions to identify trends and recommend process enhancements.
- Enhanced revenue recovery with diligent monitoring of outstanding payments and submission of appeals.
- Managed high-volume caseloads effectively while maintaining strict deadlines for the submission of claims or appeals documents.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Gathers and verifies information required to produce a clean claim, including the review of payer contracts and reimbursement rate schedules.
- Adheres to all HIPAA guidelines and regulations.
Infertility Biller Benefits Specialist
Morgan Fertility
04.2021 - 12.2021
- Collaborated with insurance providers to verify benefit and eligibility details.
- Billed payers for services rendered, and recorded information in the company database.
- Handled account payments, and provided information regarding outstanding balances to patients.
- Produced and mailed monthly statements to patients, and assisted with related requests for information and clarification.
- Posted patient payments electronically in the company database.
- Performed end-of-day reconciliation in the company database.
Education
Certificate of Honors - Medical Technician
Star Technical Institute
Lakewood, NJ11-2006
Timeline
Managed Care Claim Reimbursement Analyst
Guided Care
02.2022 - 11.2025
Infertility Biller Benefits Specialist
Morgan Fertility
04.2021 - 12.2021
Certificate of Honors - Medical Technician
Star Technical Institute