At First Source, I independently adjudicate complex medical claims across Medicare, Medicaid, and commercial plans. I process 300 claims per day and maintain 98% administrative accuracy and 99% financial accuracy.
I use QNXT, Claims Viewer, Molina workflow systems, and Availity to review claims, resolve denials and payment discrepancies, and comply with payer and regulatory guidelines. I also investigate coordination-of-benefits issues and overpayments or underpayments.
Previously, I processed medical claims at Accenture and supported claim resolutions, escalated customer inquiries, and identified potential fraud, waste, and abuse. I also served as an administrative assistant at Walker Enterprises, supporting executives and streamlining expense reporting and invoice reconciliation.
