Alexandra Compton

Revenue Cycle Analyst with 9 years of experience in medical billing, denial management, insurance verification, and claims follow-up across healthcare settings. Skilled in analyzing claim issues, resolving denials, reconciling accounts, and supporting accurate reimbursement. Experienced with Epic, Excel, prior authorizations, patient billing, payer communication, and EHR systems while maintaining compliance with HIPAA and healthcare billing standards.

Denials Management Specialist - Beth Israel Lahey Health - Burlington, MA

(2023-09)

• Managed medical claim denials and appeals to support timely reimbursement.
• Investigated denial root causes and coordinated claim corrections with billing teams.
• Reconciled outstanding claims and tracked follow-up activity across accounts.
• Communicated with insurance carriers to clarify denial reasons and secure payment.
• Maintained accurate denial records in Epic while following HIPAA and billing compliance standards.

Insurance Verification Specialist - New England Life Care - Woburn, MA

(2020-12 - 2023-02)

• Verified insurance eligibility and benefits for new patient referrals within required timelines.
• Negotiated with third-party payers to establish pricing for home infusion therapies.
• Coordinated with branch teams to support timely patient care and account setup.
• Prepared financial responsibility documents and explained coverage details to patients.
• Entered patient accounts accurately and documented insurance information in billing systems.

Billing Specialist - Epoch Sleep Centers - Lincoln, RI

(2018-01 - 2018-10)

• Processed insurance verification and obtained prior authorizations for patient cases.
• Reviewed explanation of benefits to support accurate billing and claim resolution.
• Responded to patient billing inquiries and applied account credits when needed.
• Assigned daily work and target dates to support timely team completion.
• Worked with referrals, scheduling, and documentation to maintain billing accuracy.

Insurance Authentication Specialist - All Care plus Pharmacy - Northborough, MA

(2017-03 - 2017-07)

• Completed prior authorizations to move patient cases through the approval process.
• Researched benefit issues and checked appeal status with payers and providers.
• Verified copay assistance and coverage details with insurance companies.
• Supported timely case processing through accurate documentation and follow-up.

Insurance Verification Specialist - UMass Memorial Medical Center - Worcester, MA

(2016-05 - 2016-12)

• Verified eligibility and benefits for patient insurance policies.
• Contacted patients to obtain missing policy details and resolve billing restrictions.
• Researched denial reason codes with insurance companies and billing teams.
• Generated referral numbers and submitted referral request letters when needed.
• Analyzed explanation of benefits to support claim investigation and correction.

Associate's degree - Business Administration - Quinsigamond Community College (2014-01 - 2018-12)

High school diploma or GED - Blackstone Valley Regional Technical vocational High school (2014-01 - 2014-12)