Lead Quality Assurance professional with extensive experience in healthcare and disability insurance, recognized for keen attention to detail and strong multitasking abilities. Skilled in prior authorization, referrals, and resolving denied or rejected claims, with proven problem?solving and communication strengths in collaborating with providers and doctors. Well?versed in healthcare terminology and coding standards, including deductibles, copays, maximum out?of?pocket, accumulations, ICD?10, HCPCS, CPT, and revenue coding guidelines.
