Yolanda Vaughn

Handled and processed sensitive benefits documentation, auditing and submitting over 50+ physician and hospital claims daily using EDI tools. Assessed claims for accuracy, medical necessity, and compliance with coding guidelines and payer regulations.

Supervised, mentored, and motivated a 20-person operations team, developing structured feedback and performance review processes. Managed high-volume production workflows, payment plans, and financial assistance pipelines, authorizing write-offs up to $1,000,000.

Processed and submitted accurate electronic and paper claims for specialized radiology procedures, assigning medical modifiers and components. Analyzed claims data to manage denials, investigate rejections, and execute effective appeals.

Completed business and operations coursework at Mansfield Business College.

Earned a high school diploma from Beaumont High School.