In my previous role, I had a client whose claim was initially denied due to a missing document. I worked closely with the client to gather the required information and communicated directly with the insurance company to explain the situation. Through persistence and clear communication, I was able to get the claim approved, ensuring the client received the coverage they needed.

I first review the reason for the delay or denial and then reach out to the provider to understand their concerns. If necessary, I escalate the issue to a supervisor or seek additional resources to resolve it. My goal is always to find a solution that benefits the patient and maintains a positive relationship with the provider.

I regularly attend industry webinars, read relevant publications, and participate in training sessions offered by my employer. Additionally, I network with colleagues to share insights and best practices, ensuring I am always informed about changes in insurance policies and regulations.

I prioritize tasks based on urgency and the impact on the client. For example, I handle claims with immediate deadlines first, followed by those that require more extensive communication or documentation. I also use tools like task management software to keep track of all cases and ensure nothing falls through the cracks.

I follow a detailed checklist for each claim and referral to ensure all necessary information is included. I also double-check my work and use automated systems to validate data. If I encounter any discrepancies, I consult with my supervisor or the relevant department to resolve them before finalizing the process.