Kimm Mangus

Verify patient insurance coverage and claim documentation to identify eligibility discrepancies and support accurate billing. Investigate rejected claims and coordinate with providers and carriers to resolve processing issues.

Verify patient insurance eligibility and benefits to support accurate claim submissions. Research complex claims and coordinate with insurance companies and providers to resolve issues.

Investigated complex claims inquiries by reviewing account histories and documentation, identifying discrepancies and determining resolution actions. Maintained accurate claim statuses and investigation records.

Developed SQL and Excel reporting dashboards to organize claims information and support decision-making. Analyzed claims data to identify trends and performed data validation across databases.

Continuing education focused on insurance processing and medical billing, currently in progress.

Continuing education supporting accurate healthcare documentation and patient information review, currently in progress.

Earned a High School Diploma from Winter Haven Senior High School in January 1986.