With more than 5 years dedicated experience insurance claims managemet and resolution, I have been actively contributing to the US healthcare since industry since 2018. assesting healthcare provider,policy holder regarding coverage and reimbursement.
MY areas of experticse are in insurance veerification,end to end process of a claim,and interpretation, data entry,coordination of benefits,payment posting,authorization, appeal and as well as adjustment.
Position acquired :
Correspondence Team - Task is to review documents sent by the provider office or hospital such as med recs itemized bill and onvoice
SME - Task is to handle a team
Quality Assurance Team - Task is to make sure that the agents provide good quality customer service
RCM (AR FOLLOW UP SPECIALIST)- Task is to do follow up regarding claims denial, claim status and appeal status.
I may not graduated with any medical related course but im already knowledgeable when it comes to how insurances and medical provider works like getting elig ang benefit, obtaining prior auth or retro and following up claims and appeal
