Veronica Silva

Reviewed underpayments and denials for all commercial payers as well as Medicaid and Medicare. Met or exceeded weekly goal of 120 accounts as well as met monthly flow of $300-$600k.

Reviewed medical denials for all commercial payers as well as Medicaid and Medicare accounts. Consistently met/exceeded weekly goals of 120 accounts.

Demonstrated expertise in various insurance plans, including HMOs, PPOs, and government-sponsored programs, ensuring accurate verification for diverse client populations.

Ensured timely referrals for outpatient surgery, diagnostic tests as swell as Inpatient surgery and urgent admits by verifying coverage and obtaining necessary pre authorizations.

Completed weekly goal of 150 accounts