Open to opportunities

Charlotte Joseph

@charlottejoseph

Message

Medical billing specialist and CPC-certified coder focused on accurate claims reimbursement.

United States

Message

What I'm looking for

I’m looking for a remote role where I can use CPC-level coding and payer policy expertise to audit claims, resolve discrepancies, educate providers, and strengthen HIPAA-compliant reimbursement accuracy in a detail-driven environment.

I’m a Certified Professional Coder (CPC) with over 3 years of experience in medical billing, claims adjudication, and provider relations. I apply complex CMS and Medicaid policy knowledge to verify processing accuracy and ensure correct reimbursement, especially for coding denials and submission issues.

At Aetna Better Health (Remote Claims Research & Provider Relations Specialist), I investigate and resolve complex claims inquiries by auditing claim history in QNXT and Cotiviti, and by verifying authorizations, appeals, and credentialing status. I also serve as a technical subject matter expert for providers—interpreting denials and educating offices on regulatory-standard claim submission—while proactively identifying potential compliance violations, fraudulent billing patterns, and other audit risks.

Experience

Work history, roles, and key accomplishments

Current

Claims Research Specialist

Current

Aetna Better Health

Apr 2024 - Present (2 years 2 months)

Resolved complex ABH and CMS policy claims inquiries by verifying processing accuracy, educating providers on correct submission, and auditing claim history in QNXT/Cotiviti to correct errors and support appeals/authorizations.

ICD 10 CM CPT HCPCS Medicaid CMS Policies QNXT Cotiviti Claims Auditing HIPAA compliance

Patient Representative & Billing

White Sands Integrative Medical

Mar 2022 - Nov 2023 (1 year 8 months)

Managed chiropractic practice revenue cycle—coding, billing, and eligibility verification—serving as a liaison between patients and providers; restructured intake forms to reduce patient wait times by 30 minutes while maintaining 100% HIPAA compliance.

Revenue Cycle Management Insurance Verification Eligibility Verification Coding Auditing HIPAA compliance Patient Intake Workflow Design

Digital Illustrator & PM

Freelance

Sep 2014 - Mar 2022 (7 years 6 months)

Led remote digital illustration and project management for clients including the American Historical Theatre and the U.S. Air Force (25th Intelligence SO), delivering against budgets and timelines while handling project administration.

Digital Illustration Project Management Budget Management Timeline Delivery Remote Collaboration Administrative Operations