Experienced Quality Auditor and Claims Examiner with over seven years in the BPO industry, specializing in healthcare claim refunds. A strong background in claims adjudication, medical billing analysis, and auditing, with deep knowledge of ICD-10, CPT codes, EOBs, COB, and provider contracts. Skilled in conducting root cause analyses, preparing audit reports, and collaborating with cross-functional teams to identify process gaps and ensure accuracy and compliance.
