Experience

Children's Healthcare of Atlanta Cardiology

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• A/R denials specialist

  • Sep 2022 - Present

  Atlanta Metropolitan Area • Working directly with insurance companies, healthcare providers and patients to get a claim processed and paid based on current client contracts • Researching and gathering necessary supporting documentation for appeals • Maintain Knowledge of coding for procedures and clinical diagnoses • Documenting each account in epic to ensure all updates are input while ensuring all demographics are accurate so a clean claim is sent to clearing house



Northside Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Claims Specialist

  • Sep 2020 - Sep 2022

  United States Review and appeal claims after determining reason for denial Work directly with insurance companies and patients to get claim processed and paid based on current client contracts Utilizes knowledge of the revenue cycle and data to maximize reimbursement for patient accounts Responsible for follow up on claim denials, request for additional information and payment in a timely manner

• Patient Account Representative

  • May 2019 - Sep 2022

  United States • Review and appeal secondary and tertiary claims to ensure the correct reimbursement rates are paid after determining reason for denial. • Utilizes knowledge of the revenue cycle and data to maximize reimbursement for patients account • Maintained communication with patient accounts to ensure all patient demographics were updated via phone, email or fax. • Gathered all supporting documents and medical records needed for the claims to submit an appeal.



D4C DENTAL BRANDS, INC.

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Patient relations representative

  • Oct 2015 - May 2019