Rouaa Takkoush
@rouaatakkoush
Detail-oriented registered nurse and medical claims processor focused on accurate adjudication.
What I'm looking for
I am a registered nurse and experienced medical claims processor with hands-on experience auditing and adjudicating claims across multiple hospitals and clinics. I combine clinical knowledge with claims operations to identify discrepancies, ensure policy compliance, and improve billing accuracy.
In my current role I audit and process medical claims, liaise between providers, patients, and insurers, and use HIMS and IBM AS/400 to track and resolve issues. I have a certification in Medical Coding and Billing and a strong command of Microsoft Excel for documentation and trend analysis.
I am committed to clear provider relations, timely resolution of claims inquiries, and recommending process improvements to reduce recurring errors and streamline claims workflows.
Experience
Work history, roles, and key accomplishments
Medical Claims Processor
Best Assistance TPA
Feb 2025 - Present (8 months)
Audit and process medical claims across multiple hospitals, resolving discrepancies and ensuring compliance with provider contracts to improve adjudication accuracy. Liaise with providers and insurers to close pending claims and recommend process improvements based on trend analysis.
School Nurse (Maternity Cover)
Wellspring Learning Community
Sep 2024 - Nov 2024 (2 months)
Provided nursing care for students during a maternity leave cover period, including diabetes management, insulin administration, and maintaining detailed health records. Coordinated with parents and staff to support student health and chronic condition management.
Education
Degrees, certifications, and relevant coursework
Unknown
Bachelor of Science, Nursing
2021 - 2024
Completed a Bachelor of Science in Nursing program focused on clinical nursing practice and patient care from September 2021 to July 2024.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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