Biller & Collector - Loving Hearts PCA, SIL and Behavioral Health - Slidell, Lafayette & New Orleans, LA
(2026-05)
- Submit all claims through provider portals and Sharenote.
- Ensure authorization is on file and submit for upcoming expiring authorizations.
- Verify insurance coverage for patients and services.
- Review and correct Billing Hold spreadsheets.
- Assist with Payroll and Mapping.
Reimbursement Analyst - ResMed - Remote
(2024-02 - 2026-05)
- Analyzed commercial and government payer reimbursement to ensure contract compliance and payment accuracy across BCBS, UHC, and Medicaid.
- Identified contract variances and reimbursement discrepancies, recovering underpayments through targeted appeals and payer escalations.
- Resolved high-volume claim processing discrepancies impacting reimbursement accuracy, reducing outstanding AR aging.
- Collaborated with contracting team to flag payer trends and systemic payment issues requiring contract-level resolution.
Lead — UHC & SNF Reimbursement - Vital Care - Remote
(2023-02 - 2024-02)
- Led a remote team of 20+ reimbursement specialists handling UHC and SNF payers, serving as primary escalation point for complex denials and contract payment disputes.
- Identified recurring UHC payer trends resulting in targeted appeals strategies that recovered previously denied payments.
- Conducted 1:1 coaching and team training on appeals strategy, documentation requirements, and denial prevention.
- Implemented process improvements that shortened denial turnaround time and increased recovery rates.
Reimbursement Specialist — Infusion & DME - Vital Care - Remote
(2021-06 - 2023-02)
- Managed 40–50 daily denials and appeals across commercial and government payers for infusion and home-based services.
- Submitted detailed appeals and corrected claims to resolve underpayments and non-payment issues, reducing aging AR balances.
- Flagged contract compliance concerns and credentialing gaps impacting reimbursement to provider relations and contracting teams.
Reimbursement Specialist - Option Care Health - Remote
(2021-05 - 2021-06)
- Supported system and workflow transition following acquisition of BioScrip; maintained continuity of Sunshine Medicaid and Louisiana managed care plan operations.
- Resolved denials for Medicaid and commercial payers including Healthy Blue and Aetna Better Health.
Reimbursement Specialist - BioScrip Infusion Services - Metairie, LA → Remote (2019)
(2014-06 - 2021-05)
- Managed 42–50 daily BCBS and UHC infusion and DME denials, maintaining consistent follow-up and appeals resolution.
- Supported reduction of aging AR through disciplined denial management and timely payment posting.
- Improved denial turnaround timelines, contributing to measurable gains in reimbursement recovery speed.
Reimbursement Specialist - Tulane University Hospital - New Orleans, LA
(2013-06 - 2014-05)
- Appealed commercial insurance denials for internal medicine clinics, with a focus on managed care contract discrepancies.
- Resolved Healthy Blue reimbursement discrepancies through detailed contract analysis and payer escalation.
Medical Collections Specialist — Cardiac Care Clinic - East Jefferson Hospital - Metairie, LA
(2010 - 2013)
- Primary collector for the Cardiac Care Clinic, managing multi-payer denials and follow-up across commercial and government payers.
- Met regularly with practice management and provider representatives to address contract compliance and authorization issues.
- Supported end-of-month payment posting and revenue reporting.
