I have over three years of experience in insurance claims processing and follow-up, where I handled tasks such as verifying claim statuses, resolving discrepancies, and communicating with insurance companies and clients. My role required a strong understanding of medical billing codes, insurance policies, and regulatory compliance. I consistently met deadlines and maintained a high accuracy rate, ensuring timely reimbursements for healthcare providers. My ability to navigate complex claims and resolve issues efficiently has been a key strength in my previous roles.

I prioritize tasks by urgency and complexity, using tools like task management software to track deadlines and progress. I start with high-priority claims, such as those nearing expiration or requiring immediate attention, and then address less urgent ones. I also maintain clear communication with team members to ensure alignment. By staying organized and proactive, I can manage multiple tasks effectively without compromising accuracy or quality, even in a fast-paced environment.

When handling disputes or denials, I first review the claim to identify the reason for the denial, such as coding errors or missing documentation. I then gather the necessary supporting documents and resubmit the claim with a clear explanation. If the issue persists, I escalate it to the appropriate department or contact the insurance company directly to resolve the matter. My goal is to ensure claims are processed correctly and promptly, minimizing delays for both the provider and the patient.

To ensure accuracy, I double-check all claim details, including patient information, billing codes, and supporting documentation, before submission. I also stay updated on coding guidelines and insurance policies to avoid errors. Additionally, I use software tools to flag potential discrepancies and conduct regular audits of submitted claims. By maintaining a meticulous approach and leveraging technology, I minimize errors and ensure compliance with industry standards.

I maintain professionalism by being courteous, clear, and concise in all communications. I actively listen to concerns, provide accurate information, and remain patient, even in challenging situations. I also ensure that all written correspondence is free of errors and adheres to company guidelines. By fostering positive relationships and demonstrating empathy, I build trust and facilitate smoother resolutions for all parties involved.