I am a Bachelor of Science in Nursing graduate. Skilled in identifying and anticipating patient and physician needs. Driven to establish and achieve business objectives. Excellent listening and communication skills and a resourceful team member with a positive demeanor.
I have been working in the Health Care Insurance Industry for the past 4 years. I have been promoted as a Subject Matter Expert and a Supervisor for Operations who spare-heads quality check over daily deliverable for our clients.
I am trained in the US Health Care Insurance System, Proficient in ICD-9, ICD-10 and CPT coding, including Prior Authorization review and approval with Medical documents review. In my previous job my tasks included: Claims Creation, including all verification pertaining to the patient and physician, claims denial re-submission, follow up on aged claims, payment posting and authorization verification.