Nikki Roberson

Designed and delivered training programs for claims staff to support onboarding, procedure adherence, and improved claims processing efficiency and quality. Conducted HIPAA-aligned sessions, coached performance gaps, and advised on complex claims through policy interpretation and regulatory compliance.

Resolved medical denial claims by verifying coded services, documentation, and patient eligibility while managing claim submissions and appeals. Handled payment postings in EPIC, Allscripts, and NextGen and processed Medicare and Medicaid reimbursements using ICD/CPT and UB-04/1500 billing for surgical and dialysis claims.

Managed accounts payable/receivable activities including posting cash receipts, discounts, and chargebacks accurately and on time. Maintained billing systems, executed collections and payment allocations, and performed reporting with deadline-driven documentation.

Resolved outstanding balances on commercial accounts by negotiating payment schedules to minimize credit exposure. Managed repossession and liquidation of collateralized loans to mitigate potential losses.