monica Abele

Maintained and updated payer configuration in Epic and Athena to ensure accurate claim adjudication, implemented fee schedule and policy changes, and resolved payer discrepancies to improve claim accuracy across registration teams.

Managed high-volume overpayment and recovery accounts for commercial and government payers, reduced AR aging by resolving denials and resubmitting corrected claims, and analyzed retraction requests for compliance.

Led medical billing operations for government and commercial payers, investigated and appealed denials, maintained contracts and fee schedules, and reduced AR from 120 days to under 90 days.

Coded claims using ICD-10 and CPT, closed daily billing and submitted claims for reimbursement, processed patient payments and payment plans, and managed appeals to reduce outstanding claims.

Reviewed and processed medical claims, researched and appealed payer denials, reconciled documentation for compliance, and served as primary contact for providers and patients.

Reviewed and adjudicated paper and electronic claims, determined claim status and corrected billing errors, and cross-trained across departments to support operations.

Completed a Bachelor's degree focused on healthcare management with coursework relevant to medical billing and revenue cycle operations.

High school diploma awarded at Monroe Township High School in Monroe, New Jersey.