Tara Green
West Helena
Summary
Detail-oriented Denial Management Specialist with expertise in healthcare claims processing and resolution. Analyzes and addresses claim denials while ensuring compliance with industry regulations and optimizing reimbursement processes. Collaborates effectively within teams to adapt to changing needs and drive results, leveraging knowledge of medical coding systems, insurance protocols, and data analysis tools.
Overview
4
4
years of post-secondary education
7
7
years of professional experience
Work History
Claims Data Analyst
Broadpath
12.2023 - 01.2026
- Handled high-volume caseloads, ensuring thorough analysis and accuracy in claims processing.
- Applied comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure accurate medical coding.
- Managed a portfolio of key accounts, ensuring all claims data analysis needs were met in a timely and accuratefashion.
- Managed a portfolio of key accounts, ensuring all claims data analysis needs were met in a timely and accurate
fashion.
Denial Analyst
Conduent
09.2020 - 12.2023
- Enhanced understanding of insurance coverage benefit levels and verification processes, ensuring accuracy in claims handling.
- Contributed to financial performance by minimizing lost revenue from denied claims through effective denial analysis.
- Expedited claims resolution by effectively collaborating with providers and payers to obtain necessary documentation or missing information.
- Minimized lost revenue from denied claims through thorough denial analysis, contributing to overall financial performance.
Medical Claims Examiner
Alorica
11.2018 - 08.2020
- Conducted thorough investigations and maintained accurate documentation, enhancing claims processing efficiency and reducing delays.
- Guided team members during high workload periods to resolve challenging cases, ensuring timely claim processing.
- Enhanced claims processing efficiency by conducting thorough investigations and maintaining accurate documentation.
- Handled complex claims issues, effectively communicating with patients, providers, and insurance, companies to ensure resolution.
- Guided team members during high workload periods, facilitating resolution of challenging cases.
Education
Bachelor of Science -
University of South Alabama
Mobile, AL 06.2024 - 05.2025
University of Chicago
Chicago, IL 06.2023 - 05.2024
Associate of Science -
Kilgore College
Kilgore, TX 06.2020 - 05.2022
Central High School
West Helena, ARSkills
- Claims analysis
- Claims resolution
- Denial management
- Claims auditing
- Data analysis
- Data interpretation
- Statistical reporting
- Documentation accuracy
- Regulatory compliance
- Healthcare compliance
- Microsoft Excel
- Excel skills
- Data management
- Stakeholder analysis
Timeline
Bachelor of Science -
University of South Alabama
06.2024 - 05.2025
Claims Data Analyst
Broadpath
12.2023 - 01.2026
University of Chicago
06.2023 - 05.2024
Denial Analyst
Conduent
09.2020 - 12.2023
Associate of Science -
Kilgore College
06.2020 - 05.2022
Medical Claims Examiner
Alorica
11.2018 - 08.2020
Central High School