Dawn Fairclough

Identified, followed up and resolved denial issues for Government and Non- Government payors. Researched payor policies to identify denial issues and contacted patients for insurance verification and payors for denial clarification. Prepared and submitted medical documentation for appeals.

Monitored claims submitted to government collectors (Medicaid and Medicare) for payment. Reviewed claims, researched and corrected billing, coding, or submission errors. Responded to denied claims by submitting correct documentation or forwarding to the appropriate department.

Managed the release of information process within Health Information Management, handling patient and family complaints and ensuring the validity of requests. Coordinated the submission of records for audits, denials, and subpoenas, acting as a court liaison when necessary. Ensured chart completeness and accuracy before submission and assisted with requests from Risk Management and Administrative

Completed an Associate of Applied Business degree.

Obtained a certificate in Coding and Billing.

Studied Accounting.