Anitta Glasgow

Managed and resolved complex hospital inpatient claim denials through comprehensive account analysis, payer communication, and strategic follow-up. Investigated denial root causes, prepared and submitted corrected claims and appeals, and monitored outstanding claims to facilitate timely reimbursement.

Managed and resolved complex hospital inpatient claim denials through detailed account analysis, payer collaboration, and strategic follow-up. Investigated denial reasons, submitted corrected claims and appeals, and monitored outstanding claims to ensure timely reimbursement.

Managed and resolved hospital and physician claim denials, analyzed and corrected billing errors and claim edits, and processed unbilled claims to ensure accuracy and timely submission through electronic clearinghouses.

Served as a Revenue Cycle Management Consultant, providing strategic guidance and direct client support in reconciling accounts receivable balances across multiple physician practices. Analyzed and resolved outstanding accounts, investigated payment discrepancies, and oversaw accurate payment application.

Provided team leadership and operational support for accounts receivable management, claims resolution, and reimbursement optimization. Oversaw claim accuracy and clearinghouse submissions, identified billing trends and EDI issues, and implemented corrective actions to minimize errors and improve workflow efficiency.

Managed anesthesia accounts receivable through strategic claims follow-up, payment resolution, and reimbursement analysis. Validated, researched, and resolved daily EDI discrepancies from clearinghouses and billing agencies to ensure claims accuracy and minimize processing delays.

Managed comprehensive home healthcare billing operations, including preparation and submission of electronic and paper claims to commercial and government payers. Evaluated patient financial eligibility, coordinated payment arrangements, and secured prior and retroactive authorizations.

Managed accounts receivable and reimbursement activities through payer correspondence, patient collections, and timely claims processing. Conducted monthly billing audits, generated and analyzed financial reports, and prepared appeals and reconsiderations to resolve payment discrepancies.

Responsible for pre-certifying inpatient hospital stays, registering patients for scheduled outpatient procedures, and AR follow-up of Medicare, Medicaid, and all commercial claims. Coordinated with the Utilization Review Department to review health insurance or agency requirements regarding patient transition upon discharge.