Skills
Data Analysis
2-5 Years
Denial Management & Appeals
2-5 Years
CRM & EMR Systems: DrChrono, Simple Practice, Tebra, Payer Portals
2-5 Years
Insurance Verification (Eligibility & Benefits)
2-5 Years
Claims & Denial Specialist
2-5 Years
HIPAA Compliance
5-10 Years
Experience highlights
Associate Collections Representative
Optum Global Solutions
·
January/2024
–
/
Managed high-volume AR follow-up for facility-based Medicaid Managed Care claims from review through payment resolution. Investigated claim issues via EOB analysis and coordinated with payers to resolve discrepancies.
Associate Collections Representative
Optum Global Solutions
·
January/2022
–
Present
Prepared claim reconsiderations and appeals, verified patient eligibility and insurance coverage, maintained HIPAA-compliant documentation, prioritized aging accounts, and met productivity and quality targets.
Underwriting Officer
Valucare Health Systems, Inc.
·
January/2018
–
Present
Evaluated healthcare benefit eligibility and coverage based on policies and payer guidelines. Prepared monthly claims reports, maintained accurate records and database integrity with high data accuracy standards.
