Beata Wright Email & Phone Number

• Provide problem resolution expertise in matters of errors and reconciliation.
• Preserve confidentiality of all claim files, claim reports and claim-related issues.
• Ensure claim files are properly documented and claims coding is correct.
• Handle Personal Injury Protection claims from inception through closure in compliance with Regulation 68.
• Review PIP coverage, investigate and analyze injuries to make as to coverage and course of action.
• Utilize Peer Reviews and Independent Medical Examinations to ensure medical necessity of treatments and procedures rendered.

• Updated and recorded confidential information including address changes, billing accounts at customer's request.
• Utilized coding guidelines, bundling/unbundling codes, contract rates, fee schedules, and UCR to process and pay/deny bills.
• Delivered significantly lower amount of outstanding bills by implementing specific business initiatives.
• Protected company/patient from potential fraud and overbilling through investigations and close monitoring of suspicious providers.

Parsippany, NJ, US

• Performed day-to-day operations of analyst such as research/address denials and appeals and identify trends and changes in state policies and regulations.
• Supported Microsoft Dynamics GP including Integrations, implementations, and maintenance of 3rd party products
• Oversaw PIP and Workers’ Comp bills for five states.
• Secured “higher tier reimbursement for service rendered out of network by leveraging billing negotiation techniques.
• Coordinated with adjusters, attorneys, and medical providers to ensure proper reimbursement for services rendered.

Jacksonville, FL, US

• Executed administrative activities which included managing projects, composing letters, and compiling reports.
• Prepared weekly/monthly reconciliation reports of cash flow and claims.
• Analyzed bills for medical provider for entire provider network in USA.
• Solved billing issues by utilizing proper coding and assessment of incorrectly paid claims.

• Maintained all medical claims for doctor’s office and facility.
• Managed personnel resolved issues and inconsistencies and utilized appropriate corrective procedures.
• Administered duties of posting charges, handled cash, and compiled monthly AR reports.
• Supervised billing team consisting of eight team members.
• Served as liaison between service providers and insurance companies.