At CVS Coram, I resolve insurance claim issues with payers and prepare adjustments, achieving a 95% reimbursement rate and reducing claim denials by 20% over a 12-month period.
I correct and resubmit denied or short-paid claims in line with payer policies, recovering revenue with a 98% success rate in claim resubmissions. I also process more than 100 claims for adjustment or write-off per month.
At CVS Health, I processed specialty medication orders and reorders, supported benefit verification, and helped resolve accounts receivable or clinical issues.
At Quikrete, I created reports and analyses that informed decisions and increased departmental efficiency by 15%. As Dispatch Supervisor, I managed regulatory compliance reports for the McLeod system, reducing reporting time by 50%.
