Khris Wright Email & Phone Number

Albany, GA, US

• Conducted thorough verification of provider qualifications, including education, training, and certifications, to ensure compliance with industry standards and organizational requirements.
• Collaborated with healthcare providers and interdepartmental teams to gather necessary documentation for credentialing and recredentialing processes.
• Maintained accurate and up-to-date records of provider credentials in the company's database, ensuring timely access to information for audits and… Show more
• Maintained accurate and up-to-date records of provider credentials in the company's database, ensuring timely access to information for audits and inquiries.
• Liaised with insurance companies, healthcare facilities, and government agencies to facilitate the successful enrollment of providers in various healthcare networks.
• Monitored expiration dates of provider credentials and proactively initiated the renewal process to prevent lapses in provider eligibility.

• Analyzed and processed medical claims to identify reasons for rejections at Zotec Partners.
• Reviewed and interpreted Explanation of Benefits (EOB) documents to determine the accuracy of claim denials.
• Collaborated with healthcare providers and insurance companies to resolve claim discrepancies and facilitate resubmission.
• Utilized specialized medical billing software to update patient accounts and adjust claims according to payer requirements.
• Monitored and tracked the… Show more
• Monitored and tracked the status of resubmitted claims to ensure timely reimbursement and closure of accounts.

• Reviewed and verified the accuracy of claim payments to ensure compliance with policy guidelines.
• Managed the processing of medical records and coordinated records requests to support claim resolution.
• Analyzed and applied benefit pricing to claims for accurate reimbursement calculations.
• Handled inbound calls from providers, addressing inquiries regarding claim recoupment and medical record processes.
• Processed dental claims meticulously to confirm precision in payment… Show more
• Processed dental claims meticulously to confirm precision in payment distributions.

• Coded insurance claims in alignment with physician documentation.
• Streamlined patient check-in and check-out protocols.
• Facilitated efficient patient throughput within the facility.
• Handled diverse patient payment transactions with precision.
• Liaised with insurance providers to submit claims for reimbursement.
• Secured pre-authorization for patient services in compliance with insurance requirements.

Provide exceptional customer service through both over-the-phone and in-person interactions, addressing patient inquiries and concerns promptly and professionally.Assist patients with questions regarding their billing statements, insurance claims, and payment options.Perform contractual adjustments as needed, adhering to hospital policies and.

Business, Management, Marketing, And Related Support Services

Activities and Societies: sales/business/ marketing/ entrepreneurship College prep/ Business education

Education record