Experience

Continuing Education at the University of Miami

• United States
• Higher Education
• 1 - 100 Employee

• Revenue Cycle Payer Relations

  • Sep 2019 - Present



University of Miami

• United States
• Higher Education
• 700 & Above Employee

• SR. Contract Reimbursement Representative

  • Jan 2013 - Present

  Analyze and resolve reimbursement, underpayment, and billing issues expediting accurate, timely payment and minimizing financial risks. Collaborate with insurers, third-party payers, patients, providers, and collectors to secure insurance authorizations, medical documentation, and benefits information maximizing coverage, reducing denied claims, and curtailing outstanding underpayments. Evaluate, negotiate, and determine fee schedules and managed care contracts. Monitor insurance denials, re-authorization requests, and benefit exclusions safeguarding continuity of care and sustained coverage; support appeals processes Show less

• Medical poster spec.

  • Dec 2006 - Present