At Emory University Healthcare, I research complex specialty billing accounts involving denials, underpayments, payer discrepancies, and high-value claims. I use Epic to review account history and claim activity, then determine an appropriate resolution path.
I develop detailed appeals for denied specialty drug and infusion-related claims, using supporting documentation and payer requirements. I also analyze recurring denial patterns and share findings that support workflow improvements.
At Pediatric Services of America, I managed 200+ denial and claim investigations monthly and supported HIPAA/X12 payer transaction testing, training, documentation, and troubleshooting. I also improved workflows to strengthen claim accuracy and timely resolution.
Earlier, at Healthcare Corporation of America, I advanced through revenue cycle roles and reduced aged accounts by 80% by developing improved tracking and corrective logging processes. I created audit reports and documentation supporting leadership decisions, compliance initiatives, and process improvement.
