At Integrity Health Care Solutions, I manage Accounts Receivable follow-up and eligibility verification across ASC and hospital cases. I resolve denials and underpayments, verify surgery benefits, and coordinate prior authorizations to support financial clearance.
I built specialty-specific SOPs covering benefits verification, pre-certification, charge capture, claim edits, denials and reporting. I also trained team members on verification checklists and QA controls.
At Crystalvoxx, I handled end-to-end medical billing workflows and supported eligibility verification and prior authorization for Chiropractic and Physical Therapy claims. I produced KPI reports and tracked measures including AR90, denial rate and clean-claim rate.
