Experience

Cigna Healthcare

• Hospitals and Health Care
• 700 & Above Employee

• Quality Review & Audit Senior Representative

  • Nov 2021 - Present

  Provider contract auditing, employee documentation submission audits, grade provider audit reports for management, review provider contracts for compliance, aging reports, resolve remediation audits, contact provider offices to ensure in network verification

• Enrollment/Billing Senior Representative

  • Jul 2020 - Nov 2021

  Global insurance billing, working with clients, brokers, and client management regarding balances, research/resolve client issues, aging reports, write offs, reconciling balances, work on other projects as needed



ChristianaCare

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

• Hospital Billing Analyst

  • Jan 2018 - Jul 2020

  Following up on outstanding balances, submitting medical claims to payers, medical necessity denial review, coding error review, insurance eligibility verification, resolving error reports, resolving aging balances, working with management regarding trends and outstanding balances, other project review as needed Following up on outstanding balances, submitting medical claims to payers, medical necessity denial review, coding error review, insurance eligibility verification, resolving error reports, resolving aging balances, working with management regarding trends and outstanding balances, other project review as needed



PT NETWRK LLC DBA PIVOT PHYSICAL THERAPY

• United States
• Medical Practices
• 1 - 100 Employee

• Billing/Posting Analyst

  • Aug 2017 - Jan 2018

  Responsibilities include sorting lockbox detail, posting insurance/patient payments to patient's accounts, resolving outstanding balances and credit balances, processing credit card payments, cash reconciliation, sorting mail, balancing daily deposits, working on other clerical duties as needed Responsibilities include sorting lockbox detail, posting insurance/patient payments to patient's accounts, resolving outstanding balances and credit balances, processing credit card payments, cash reconciliation, sorting mail, balancing daily deposits, working on other clerical duties as needed



Genesis Healthcare

• India
• Wellness and Fitness Services
• 1 - 100 Employee

• Billing/Posting Analyst

  • Apr 2016 - Aug 2017

  Responsibilities include coordinating mail, organizing data tracking logs, insurance verification, contacting insurance companies regarding balances, processing payments and posting payments to patient's accounts Responsibilities include coordinating mail, organizing data tracking logs, insurance verification, contacting insurance companies regarding balances, processing payments and posting payments to patient's accounts



Bank of America

• United States
• Banking
• 700 & Above Employee

• Fraud Analyst

  • Sep 2013 - Apr 2016

  Tasks include handling high volume calls about declined charges and suspicious activity, reviewing customer accounts, placing outbound calls to review account activity, submitting fraud claims and issuing credits to accounts that show fraud charges Tasks include handling high volume calls about declined charges and suspicious activity, reviewing customer accounts, placing outbound calls to review account activity, submitting fraud claims and issuing credits to accounts that show fraud charges