Haley Bryant

• Manage credit balance resolution to ensure compliance with payer regulations and reduce financial risk exposure

• Oversee anesthesia billing queue, ensuring accurate charge capture, modifier application, and timely claim corrections

• Maintain high accuracy performance metrics in a high-volume, fast-scaling environment

• Train and mentor new team members on billing workflows, compliance standards, and accuracy expectations

• Selected to assist in implementing workflow processes and policies for newly onboarded client operations

• Identify billing discrepancies and collaborate cross-functionally to prevent revenue leakage

• Support organizational quality initiatives during workforce expansion and performance stabilization efforts

• Independently manage assigned claim work queues to resolve unpaid and denied insurance claims.

• Research payer portals and client EMR systems to identify root causes of denials and implement corrective action.

• Correct, resubmit, and appeal claims to commercial and government payers.

• Analyze denial patterns and communicate trends to leadership to improve clean claim rates.

• Collaborate cross-functionally with patient advocates and client teams in a remote environment to ensure timely reimbursement.

• Performed comprehensive insurance follow-up and AR management for radiology and pediatric accounts.

• Resolved coding, duplicate, and medical necessity denials.

• Retrieved and interpreted remits from clearinghouses to determine payment discrepancies.

• Maintained consistent follow-up to reduce aging AR balances.

• Supported revenue cycle functions for pharmacy benefit management services.

• Reviewed and validated claims for billing accuracy and compliance.

• Conducted payer and patient outreach to secure reimbursement and resolve outstanding balances.

• Responsible for assisting members, providers, physicians, internal/external clients with pharmacy benefits/co-pay assistance programs
• Prepares and reviews claims to ensure billing accuracy.
• Pursues collection activities to obtain reimbursement from payers and/or patients.
• Frequent follow up with payers and/or patients on outstanding accounts.

• Minor procedural coding
• Insurance verification

• Prepared and submitted CMS-1500 claims; ensured timely filing compliance

• Reviewed provider documentation for coding accuracy (CPT, ICD-10, HCPCS).

• Verified benefits and eligibility via Availity and OneSource.

• Escalated coding trends impacting reimbursement.

• Processed Medicare and Medicaid UB-04 claims in high-volume production environment.

• Corrected billing edits, rebilled claims, and released secondary claims.

• Managed HRSA COVID billing and eligibility determinations.

• Met daily productivity and quality benchmarks.