Zainab Liadi

Resolved claim reimbursement discrepancies by coordinating with commercial and government payers, reviewing payer portals, and following up on missing or incorrect documentation. Investigated claim errors, performed EOB-based analysis, and corrected underpayment/overpayment through appropriate follow-up and documentation.

Resolved insurance payer reimbursement discrepancies by reviewing claims, requesting missing medical records, and updating claim documentation. Tracked common claim errors, analyzed payer behavior, and worked payer portals to coordinate benefits and resolve billing underpayment or overpayment.

Managed denied hospital claims by communicating with insurers, verifying patient eligibility, and submitting resubmissions/appeals when supported. Reduced rework by reviewing clearinghouse rejections and aged accounts, posting adjustments, and collecting Medicare, Medicaid, and commercial balances.

Streamlined revenue cycle processes to improve efficiency and reimbursement outcomes through compliance with payer guidelines and regulatory requirements. Managed inpatient claim follow-up and denials, analyzed EOBs and payer contracts, and produced detailed notes and appeal letters to support claim resolution.

Handled member inquiries with a focus on benefits and eligibility, documenting conversations accurately and escalating major issues to supervisors. Managed high-volume inbound/outbound calls and processed service transactions to resolve participant/member concerns in a timely manner.

Completed a Bachelor's degree in Accounting at Lagos State University from 2012 to 2015.