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Alhaji Bah

@alhajibah1

Insurance operations specialist at Alma who resolved 100,000+ denied claims and returned an estimated $5M+ to paid status.

United States

Message

At Alma, I worked rejected and denied professional claims for Optum/UHC, Aetna, Cigna, BCBS, and Medicaid plans. I analyzed EOBs, ERAs, and CARC/RARC codes to identify denial causes and reworked claims for resubmission.

I helped clear a backlog of more than 20,000 claims as part of a six-person team and resolved 100,000+ rejected and denied claims over five years, returning an estimated $5M+ in delayed provider reimbursement to paid status.

I also submitted prior authorizations, developed SOPs and workflow templates, and trained more than 40 new hires and managers. My work included eligibility and benefits verification, AR follow-up, and resolving credentialing and NPI issues.

Experience

Work history, roles, and key accomplishments

Insurance Operations Associate

Alma

Nov 2021 - Sep 2026 (4 years 10 months)

Worked 150+ rejected and denied professional claims daily, analyzing CARC/RARC codes to resolve denials and rework front-end rejections. Verified eligibility, corrected COB errors, and submitted prior authorizations to prevent repeat denials.

Denial Management A R Follow Up Prior Authorizations ERA EOB Review CARCs RARCs CMS 1500 Stedi Change Healthcare ProviderExpress Aetna Provider Portal Zendesk Asana Google Sheets Excel HIPAA

Contract Operations Associate

Alma

Jul 2021 - Nov 2021 (4 months)

Handled rejected and denied claims, reworked front-end rejections, and corrected errors to resubmit clean claims. Verified eligibility and benefits, and submitted prior authorizations to prevent denials.