Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Insurance Verification
Tri State Rehab
07.2023 - 12.2023
Conducted insurance verification and preauthorizations and managed patient charts.
Improved accuracy in insurance verification, resulting in reduced claims denials and faster reimbursements.
Managed administrative tasks such as appointment scheduling, billing processes, record-keeping, insurance verification, and financial reporting to ensure smooth operations within the practice.
Enhanced revenue collection by optimizing insurance verification procedures and providing comprehensive staff training.
Billing Resolutions Specialist
St. Mary's HIMG
03.2020 - 06.2021
Leveraged advanced knowledge of reimbursement methodologies to ensure proper coding, pricing structures, and payment application across multiple payers/providers types.
Collaborated with cross-functional teams to identify root causes of billing issues and implement corrective actions.
Increased customer satisfaction by promptly addressing inquiries, providing clear explanations, and offering timely resolutions to billing issues.
Auditor
WeCare Medical
11.2018 - 02.2020
Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
Planned and executed follow-up audits at appropriate intervals.
Medical Claim audit specialist at TCS Head of Medical Audit in the Medical Claims DepartmentMedical Claim audit specialist at TCS Head of Medical Audit in the Medical Claims Department
Team Manager at Crawford and Company GBSC - Broadspire (Integrated Claims and Medical Management Services)Team Manager at Crawford and Company GBSC - Broadspire (Integrated Claims and Medical Management Services)
Covid Response Nurse at Aspen Medical - Uniteam Medical Assistance, Abu DhabiCovid Response Nurse at Aspen Medical - Uniteam Medical Assistance, Abu Dhabi