Billing Coordinator - Beneficent Healthcare Agency - Remote
(2021-04 - 2026-07)
- Identify and resolve discrepancies in claims to ensure timely and accurate reimbursement.
- Generate reports on claims processing metrics, including denial rates, reimbursement trends, and processing timelines.
- Collaborate with cross-functional teams to address and resolve claim-related issues promptly.
- Familiar with inpatient/outpatient facility claims, professional claims and clinical coding (ICD9, CPT, and Revenue Codes).
- Generate comprehensive reports on claim trends, settlement metrics and financial impacts.
- Provide guidance and training to other claim analysts, fostering a collaborative and knowledgeable team environment.
- Supported the transition to automated reporting systems, increasing data availability for decision-making.
- Collaborated with Insurance and clinical department to ensure accurate information delivery.
Reimbursement Specialist - Amgen - Remote
(2019-10 - 2021-04)
- Collect data and prepare reports related to insurance benefits and reimbursement trends.
- Analyze reimbursement data to identify opportunities for optimization and improvement.
- Investigating claims issues and making recommendations for supervisor.
- Utilized Epic and Trubridge data systems to cross-reference discrepancies and validate reimbursement alignment with contracts.
- Collaborated across departments to resolve escalated matters promptly.
- Generated reports on claim denial trends, while ensuring resolutions.
Registration Associate - Highland Woods Health - Woodland, TX
(2017-02 - 2018-10)
- Collect and accurately enter patient demographic information, insurance details, and other necessary data into the registration system.
- Communicate effectively with patients to gather necessary information for registration. Functioned as a team leader.
- Conducted benefit verification and aligned service codes with payer guidelines.
- Maintain patient confidentiality and adhere to HIPAA guidelines.
