Maria Wright Email & Phone Number

United States

Handle appeals and grievances.Work in a fast paced environment to oversee the resolution of appeals, meeting the Internal and External regulatory guidance.Work Medicaid appeals along with other COB.Worked appeals for timely filing, billing errors, no authorization and mismatch provider information.Adjusted Appeals in HRP.Documented and closed the complaint.

United States

Provided hands-on assistance with the claim adjudication process through verification of coverage for eligibility and discrepancies, applying all cost containment measures.Identified, reviewed, or applied appropriate guidelines, coding, member and provider selection processes, and claim coding (i.e., procedure, diagnosis, and pre-coding requirements).

United States

Processes or adjust medical insurance claims in accordance with policies and procedures.Responsible for having the ability to read explanation of benefits, claim forms and healthcare terminology. Identifies, researches, resolves claim issues, and requests for additional documentation. Ensures contractual performance guarantees related to payment processing.

Arlington, Texas, United States

- Recognized as a highly analytical claims benefits specialist due to demonstrated skills in the thorough analysis and adjudication of routine claims based on claim processing and medical necessity guidelines.- Provided hands-on assistance with the claim adjudication process through verification of coverage for eligibility and discrepancies, applying all.

- Adhered to all company and insurance clients’ guidelines on work conduct, customer service, policy, claims process, estimate writing, and claim closures associated with claim assignments.- Coordinated closely with stakeholders (i.e., insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys) via phone or email to gather and discuss.

Fort Worth, Texas, United States

- Played a key role as primary point of contact to expertly handle commercial insurance property catastrophe claims from clients; visited and examined property to evaluate damage and determine claimant compensation for the insurance company. - Performed a variety of activities ranging from investigation to settlement, including mitigating the needs of the.

Abilene, Texas, United States

- Orchestrated a variety of client projects throughout the entire project lifecycle, including customer implementations, requiring knowledge of industry best practices; created plans/timelines; managed budgets up to $100K; allocated resources; defined scope; identified and mitigated risks; provided status update reports, release management, change.

Farmers Branch, Texas, United States

- Promoted to project manager as a direct result of project management expertise, strategic leadership, and the demonstrated ability to lead and build high-performing teams.- Led and accomplished special projects, including client needs assessment, strategic planning based on demands, PRD development, goal setting, and stakeholder communication with status.