I have extensive experience managing reimbursement processes, including overseeing claims submission, denials management, and payment reconciliation. I am proficient in using various reimbursement systems such as Cerner, Epic, and Meditech, which has enabled me to streamline workflows and improve accuracy in claims processing.

I stay updated with the latest regulatory changes and ensure that all reimbursement processes adhere to CMS, HIPAA, and other relevant guidelines. I conduct regular audits and training sessions to maintain compliance and mitigate risks of non-compliance.

I focus on improving data accuracy, ensuring timely submission of claims, and enhancing staff training on coding and billing practices. By analyzing denial trends, I implement corrective actions and optimize workflows to minimize errors and improve reimbursement rates.

I collaborate with the payer relations team to resolve disputes efficiently. I gather necessary documentation, communicate clearly with payers, and negotiate favorable terms when possible. My goal is to maintain positive relationships while ensuring our organization receives fair reimbursement.

I have strong data analysis skills and use tools like Excel, SQL, and BI platforms to track reimbursement metrics, identify trends, and make data-driven decisions. This helps in optimizing reimbursement strategies and improving overall financial performance.