Seasoned Denial Specialist with solid experience in medical billing and insurance claims. Strong understanding of denial management processes, claim reviews, and appeals procedures. Demonstrated ability to work well under pressure while maintaining high attention to detail and accuracy. Proven record of improving efficiency within healthcare financial operations.
Work History
Hospital Denial Specialist in Billing Department
MUSC Medical University Hospital Authority
Charleston
07.2026 - Current
Reviewed denied claims for accuracy and compliance with hospital policies.
Assisted in gathering documentation to support appeal processes for denials.
Communicated with insurance companies to clarify denial reasons and requirements.
Updated claim status in the hospital's billing system for tracking purposes.
Maintained communication with providers regarding denied claims and appeals processes.
Responded promptly to customer inquiries about claim status or denied services.
Education
Associate - Graphic Design
Trident Technical College
Charleston, SC
Skills
Claims analysis
Medicare regulations
Denial management
Communication with insurance payers
Accomplishments
2023 Productivity Power House 1st Place Appeals
2024 Sparks Award -937 submitted with 379 overturned leading the total denial recovery of 1.8 million dollars
Denial Specialist/Hospital & Professional Billing at Beth Israel Lahey HealthDenial Specialist/Hospital & Professional Billing at Beth Israel Lahey Health