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Accounts Receivable Senior Coordinator
Accounts Receivable Senior Coordinator at CVS Health, resolving denied medical claims and managing payer refunds.
United StatesAccounts Receivable Senior Coordinator at CVS Health
Managed high volume of denied medical claims by refuting denials within payer guidelines through accurate review, correction, and resubmission. Oversaw script write off activities and worked with pharmacy and insurance companies to reverse potentially fraudulent claims.
Medical ClaimsPayer GuidelinesClaim Correction And ResubmissionMedicareMedicaidFraud DetectionCoordination
Worked in medical billing department performing insurance eligibility checks, submitting claims, posting payments, and following up on invoices. Also handled reception and assisted doctors' staff as needed.
Medical BillingInsurance EligibilityCMS 1500Payment PostingMedical Coding
Analyzed rejected script claims to identify root causes and corrected issues across the store network. Participated in a project team focused on reducing bad debt for pharmacy receivables.
Claims AnalysisRoot Cause AnalysisPharmacy ClaimsBad Debt ReductionCross Functional Collaboration
Supervised fellow technicians, prepared and filled prescriptions, managed drug inventories, and provided customer assistance. Maintained insurance and billing information and served as a liaison between customers and insurance companies.
Pharmacy OperationsPrescription FillingInventory ManagementCustomer ServiceInsurance BillingSupervision
Certified by the State of Rhode Island as a Pharmacy Technician.
Completed college preparatory high school education. Named as a member of the National Honor Society in 2005.
Completed college preparatory high school education. Named as a member of the National Honor Society in 2005.
Pursued a Bachelor of Science in General Studies. Completed two years of coursework toward a Bachelor of Science in Nursing.
Nationally certified as a Pharmacy Technician.
Profile sourced from Himalayas.