Quin Levy
Senior Qa Auditor (Appeals & Grievances) at Healthfirst
Based in Houston, United States
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Seniority
Staff
Department
Other
Location
Houston
Industry
Hospitals and Health Care
Company size
5.4K
Contact information
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q•••••••@healthfirst.org
Phone
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Background
About Quin Levy
Experienced Claims and Appeals Specialist with a comprehensive background in Quality Assurance, Net Revenue Integrity, Claims Examination, and Appeals and Grievance management. Adept at ensuring accuracy in billing and patient data, consistently reviewing claims for compliance with billing regulations to minimize discrepancies and maximize claim acceptance rates. Skilled in contract review and claims analysis, examining contract terms to ensure that billing aligns with contracted rates, preventing revenue loss and ensuring prompt claims resolution. Proven ability to manage delinquent accounts by investigating overdue balances, coordinating with patients, insurance providers, and internal departments to facilitate timely payments and resolve outstanding balances. Highly organized with a strong focus on transparency and accountability, documenting account actions with detailed notes on steps taken and communications to support streamlined account management. Experienced in processing insurance and patient refunds accurately according to contractual obligations, ensuring compliance with refund policies and maintaining positive relationships with all stakeholders. Recognized for problem-solving under pressure, maintaining high-quality standards, and fostering collaboration within cross-functional teams to drive operational success and optimize revenue outcomes.
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