Effectively reviewed and research claim denials and contact payers to verify detailed denial reasons when necessary, phoned appeals & reconsiderations for denied or rejected claims, identified and communicated denial/rejection trends to management, navigated and researched insurance policies & benefits for policy exclusions for patients and appeals, navigated and researched payer medical reimbursement policies and exclusions, helped type medical necessity letters to appeal claims based on clinical policy bulletins, completed request for reconsideration forms while following payer requirements, prepared documentation and file appeals and reconsiderations as appropriate, aware of the timely filing guidelines associated with reconsiderations and appeals for assigned payers, helped maintain SOP's, reviewed accounts for accuracy (payments and adjustments),