Regional Account Manager/Team Lead
San Diego
Managed and lead an auditing team that provided insurance claim review and contractual analysis services for Sharp Hospital’s insurance overpayment (Credit balance) accounts.Provided extensive contract analysis through reviewing, researching, investigating, negotiating, and resolving all types of credits for Sharp Hospital, as well as providing recovery and resolution for insurance companies and government entities.Worked with UnitedHealthGroup’s legal department and provided analytical… Show more Managed and lead an auditing team that provided insurance claim review and contractual analysis services for Sharp Hospital’s insurance overpayment (Credit balance) accounts.Provided extensive contract analysis through reviewing, researching, investigating, negotiating, and resolving all types of credits for Sharp Hospital, as well as providing recovery and resolution for insurance companies and government entities.Worked with UnitedHealthGroup’s legal department and provided analytical and statistical support by helping draft financial reimbursement contracts for various Hospital services. Analyzed and identified trends and provided reporting as necessary, Show less