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Street Address EMAIL AVAILABLE PHONE NUMBER AVAILABLEWork Experience:Claim Analyst Overlake Hospital Bellevue WA March 2023 to Dec 2023 Managed denials by identifying root cause and trends of aged accounts which resulted in improved policies and procedures for billing and collection. Responsible for timely billing and follow-up of all inpatient and outpatient Commercial and government accounts for the hospital. Ensure efficient and accurate claims processing to maximize reimbursement for medical services.Claim Edit Specialist/GHR Crozer Health, Upland PA June 2022 to Feb 2023 Review and edit medical claims to ensure compliance with insurance and regulatory guidelines. Utilize medical billing software and coding systems, including ICD-10 and CPT, to ensure accurate billing and reimbursement. Collaborate with healthcare providers, insurance companies, and patients to resolve claims issues and improve payment processes.Account Receivable Rep. Cape Regional, Cape May Court NJ. April 2021 to June 2022 Managed a high volume of medical insurance claims, ensuring accurate billing and reimbursement. Verified patient insurance eligibility and ensured that claims were submitted correctly. Resolved billing discrepancies and worked with insurance companies to ensure timely payment.Claim Analyst Springfield Clinic Springfield, IL. July 2020 to March 2021 Responsible for resolution of assigned accounts for managed care, commercial and government payers. Coordinated payer and patient refunds, decreased credit balances by 20%.Claim Analyst/ ABLM Tifton Regional Health Tifton, GA. May 2019 to June 2020 Coordinated and managed medical claims submission to insurance companies. Facilitated Medical records retrieval and upload to payers which increased revenue by 30% for the period.Education: BA in Education Ahmadu Bello University, ZairaSkills: Claims Edits Claim rejection. Medicaid Medicare Managed care Medical Billing Root Cause Analysis Accounts Receivable CPT/HCPCS Coding ICD-10 Insurance Verification Microsoft Excel ICD Coding Payment posting Microsoft Word FHQC Customer Service Microsoft Office Salesforce Microsoft Outlook FTP EDI ICD-9EHR: Epic, Cerner, Athena, Revenue Cycle Manager, Meditech, Epremis, Prebill Manager, SSI. Eclinical Works, GECentricity, Meditech. |