Kayla Sanders

Ensured accurate charge capture and documentation in EMR to support compliant billing and reimbursement under CPT, ICD-10, and HIPAA standards. Managed claims through submission, payer responses, denials, and appeals, and improved documentation and workflow practices by analyzing payer and denial trends.

Supported billing and operational workflows by collecting client documentation, monitoring claim status and outstanding balances, and coordinating follow-ups to support timely reimbursement. Assisted with clearinghouse rejection identification and resubmissions and communicated documentation requirements and claim issues to clients.

Assisted with claims tracking, reimbursement monitoring, and denial follow-up to improve payment timelines and reduce bad debt. Reviewed documentation and payer responses for regulatory and contractual compliance, supported payer fee schedule and trend analysis, and prepared performance reports for leadership.

Supervised insurance verification and authorization workflows to ensure accurate billing and charge capture prior to claim submission. Resolved complex denials and underpayments, performed payer follow-up and appeals, and ensured timely filing and documentation completeness to prevent pending claims.

Led high-volume ER registration workflows to ensure accurate demographics, insurance, and authorization data supporting compliant billing. Verified eligibility, obtained authorizations, corrected documentation errors, and collaborated with billing teams to address registration-related rejections while maintaining HIPAA and payer compliance.

Earned the Certified Healthcare Access Associate (CHAA) certification in 2012.

Earned a Bachelor of Science in Business Management & Hospitality at Bethune-Cookman University in 2010.