Annjilla Walker

Investigated and resolved issues with claims, payments, referrals, and precertifications. Prioritized and resolved specialty accounts including balances on MVA, Mental/Behavioral health, Medicare, Medicaid, Correctional facility, Grant programs, and Miscellaneous payer claims.

Analyzed information to identify the root cause of denied or unpaid claims and investigated and solved problems with claims, payments, referrals, and precertification. Composed and followed up on claims appeals, ensuring appropriate timely filing guidelines were met for maximum reimbursement.

Coordinated medical rides with major medical carriers and scheduled transportation with charities, non-profit entities, homeless, and abuse shelters. Managed multi-line phone systems and operated multiple computer programs simultaneously and efficiently.

Applied organizational guidelines to make claims adjudication decisions and routed claims to other departments for review as appropriate. Provided information to providers concerning the status of member's coverage, benefits, referral status, and claim status.

Completed an Associate degree in Billing and Coding. Gained expertise in medical claims, billing, insurance, and administrative support within the healthcare industry.