Joslyn Sims

Analyzed and resolved denied medical claims, prepared and submitted appeals with documentation, identified denial patterns, and coordinated corrections to secure reimbursement and ensure compliance.

Generated and submitted home infusion and DME claims, obtained billing data from client systems, and followed up on patient balances and claim statuses via payer portals and phone.

Managed timely submission of invoices and evaluated payments applied to patient accounts, followed up on denials within 48 hours, and verified claim processing with payers.

Coordinated transitions of new patients onto service, collected and completed care transition documents, and set up autopay and copay assistance plans to support patient onboarding.

Submitted timely, accurate invoices for home infusion products and services, ensured correct drug quantities/pricing, and verified required billing documentation prior to claim submission.

Grade: 3.00/4.00

Completed Health Care Billing and Coding Specialist certificate with a 3.00 GPA in March 2017 and is CCS‑P eligible.