At TruBridge, I processed and submitted CMS-1500 and UB-04 claims, checking coverage and pre-service authorization approvals against payer guidelines.
I identified and resolved claim rejections and prior authorization-related denials, and verified that claim submissions had complete clinical and authorization documentation.
Previously, at R1 RCM, I analyzed authorization data and denial root causes to support revenue optimization. At Optum Global Solutions, I adjudicated medical claims and used Facets and Epic to verify authorization statuses.
