

Results-driven healthcare professional with comprehensive experience managing all facets of medical billing and claims to support operational efficiency and continuous improvement. Demonstrated expertise in Medicaid billing policy development, resolving complex billing and coding issues, reviewing claim denials, and overseeing accurate charge entry, transmission, and resubmissions. Recognized for delivering exceptional administrative support and ensuring compliance with all regulatory and legal standards.
Certified Dermatology Coder with strong proficiency in accurately abstracting data from patient records, identifying documentation gaps, and assigning compliant, audit-ready codes. Skilled in training and mentoring staff on effective claims management practices aligned with legal, licensing, and payer requirements.
Proven ability to build collaborative relationships across providers, insurers, and executive leadership to improve workflows and enhance outcomes. Additionally experienced as a Crisis Advocate, providing empathetic, trauma-informed support to individuals impacted by domestic violence. Well-versed in conducting both individual and group counseling sessions to strengthen client well-being and coping skills.
Track record includes advocating for client access to vital resources, developing personalized treatment plans based on individual histories and life goals, and optimizing program operations to improve service delivery and support network development.
* Provide customer service support by addressing client inquiries and resolving concerns in a timely and empathetic manner.
* Assist individuals in accessing services and resources to meet their healthcare needs.
* Collaborate with team members to ensure effective communication and delivery of support services.
* Maintain accurate records of client interactions and service requests.
* Apply problem-solving skills to identify solutions for clients facing challenges.
* Support clients by offering information and guidance on available assistance programs.
* Follow procedures to ensure compliance with organizational policies and confidentiality standards.
* Coordinate with other departments to facilitate comprehensive service delivery.
Incorporate modifiers coded narrative diagnoses, and meticulously verify all diagnoses for completeness and accuracy