PROFESSIONAL SUMMARY: Core Qualifications: * Proficient in data management, web applications, Microsoft Office suite including Excel, Power Point, Publisher, Adobe Suite and other specialty specific software applications * Accomplished in medical claim verification of coverage, denial and appeal processes * Facile in coordination of post-acute care patient needs * Skilled in all aspects office management, including scheduling of large professional staff and director's assistant * Highly skilled and experienced in customer service and needs-based sales * Articulate in written and verbal communication Recent Accomplishments: * Developed and implemented standardized practices and procedures for the denials/appeal process during a recent system upgrade * Educated and trained Appeals Teams at two large hospital campuses on newly standardized denials/appeals practices and procedures * Act as an ongoing resource for two hospital campuses on newly standardized procedures * Decreased departmental write-offs by over $200,000.00 in 2016

Highlights:

• Denials
• Billing
• Claims
• Financial Services
• Compliance
• Managed Care
• Recoupment
• Investigation
• Insurance
• Appeals
• Regulations
• Hackettstown, NJ