Briana Wise

Background

About Briana Wise

I’m a healthcare Claims & Benefits Specialist with 10+ years of experience helping organizations resolve complex claim issues, verify eligibility and benefits, and collaborate with health plans, payors, and providers. Throughout my career with Fresenius Medical Care and DaVita, I’ve managed high-volume portfolios of claims and pre-certifications, investigated and disputed denied claims, and worked closely with payer representatives to secure timely and accurate resolutions. I’m known for my critical thinking, problem-solving, and process improvement skills — including creating SOPs and pilot programs that improved claim workflows and reduced errors. What drives me most is ensuring patients and providers get the accurate outcomes they deserve while supporting my colleagues with training, benefit inquiries, and issue resolution. Core Skills: Claims Dispute Resolution | Eligibility & Benefits Verification | Insurance Verification | Payor & Provider Collaboration | Root Cause Analysis | Process Improvement | Training & Development | Portfolio Management | Compliance (HIPAA, State & Federal) I’m always eager to connect with healthcare leaders and teams who are focused on improving claims accuracy, benefit transparency, and the overall patient experience.