Denise Kovac

Medical Billing Specialist with 30 years of experience across inpatient, outpatient, facility, and physician billing. Strong expertise in claim submission, denial management, insurance contract interpretation, appeals, EOB review, and reimbursement optimization. Proven ability to reduce A/R, overturn denials, and improve revenue cycle workflows. Recognized for accuracy, efficiency, and exceptional payer communication.

• Helped overturn $9.7M in denials (2024–2025) including medical necessity, no authorization, and overpayments.
• Achieved 80% success rate resolving rejected, underpaid, and overpaid claims.
• Consistently overturned payer denials through strong contract interpretation and communication.
• Built A/R aging and revenue projection reports that improved financial accuracy and visibility.
• Created proactive scheduling reports that accelerated authorization turnaround and P2P preparation.
• Trained staff across collections, eligibility, and authorizations to improve workflow efficiency.

Life experiences with a high school diploma.