a Junior Claims Specialist with a strong foundation in Medical Coding, Claims Adjudication, Insurance Verification, and Patient Billing, I am committed to ensuring compliance, data accuracy, and efficient claims processing. I bring a detail-oriented mindset and a proactive approach to resolving discrepancies, verifying coverage, and supporting healthcare providers and patients through accurate and timely billing practices.
I aim to be recognized as a reliable, analytical, and growth-driven professional who consistently upholds industry standards and contributes to operational excellence. With a clear goal of becoming a Senior Healthcare Claims Analyst, I continuously seek opportunities to expand my expertise, improve workflows, and deliver value through data integrity and process optimization.
Experience: 2 - 5 years
Supported healthcare operations by managing medical billing processes, verifying insurance coverage, and ensuring accurate claim submissions in compliance with HIPAA and payer guidelines to facilitate timely patient reimbursements and pharmacy revenue cycle efficiency
Experience: 2 - 5 years
Performed insurance verification for prescription medications at MedWiz Pharmacy, ensuring accurate coverage validation, prior authorization coordination, and timely communication with insurance providers to support smooth patient access to medications
Experience: 2 - 5 years
Handled patient medical billing at MedWiz Pharmacy by preparing and submitting accurate claims, resolving billing discrepancies, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and insurance policies
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