Jasmine Burch
Baltimore
Summary
Dynamic Medical Claims Specialist with extensive experience at Acclara / R1 RCM, adept at enhancing claims processing efficiency and resolving complex claim denials. Proficient in ICD-10 and insurance verification, I excel in collaboration and problem-solving, driving operational improvements and ensuring compliance with regulatory standards.
Experienced with medical claims processing, including handling and resolving complex claims issues. Utilizes advanced claims management software to ensure accurate and timely processing. Knowledge of compliance regulations and maintaining detailed and accurate records.
Healthcare professional with extensive experience in medical claims processing and resolution. Proven track record of efficiently handling claims, resolving discrepancies, and maintaining compliance. Known for strong team collaboration, adaptability, and commitment to achieving results.
Overview
2026
2026
years of professional experience
Work History
Medical Claims Specialist
Acclara / R1 RCM
2024 - Current
- Analyzed medical claims for accuracy, ensuring compliance with regulatory standards.
- Reviewed and resolved discrepancies in claim submissions to minimize processing delays.
- Collaborated with healthcare providers to verify patient information and documentation requirements.
- Implemented process improvements that enhanced claims processing efficiency and reduced errors.
Provider Claim Resolution Specialist
Concentra Remote
2022 - 2024
- Resolved complex provider claims using advanced claim processing systems.
- Conducted thorough investigations to ensure compliance with regulatory standards.
- Collaborated with cross-functional teams to improve claims resolution processes.
- Analyzed trends in claim denials to identify areas for operational improvement.
- Help people claims get approved when denied
Receptionist
German Hill Nursing Home
2017 - 2022
- Managed front desk operations, ensuring smooth patient check-in and appointment scheduling.
- Coordinated communication between staff, residents, and families to enhance service quality.
- Assisted in maintaining accurate resident records using electronic health record systems.
- Provided administrative support by handling inquiries and directing calls efficiently.
Education
High School Diploma -
Patapsco Highschool
Baltimore, MD01-2017
CCMA -
Stepful Medical Assistant Program
Baltimore, MD01-2024
Skills
- Medicare expertise
- ICD-10 proficiency
- Claims processing
- Insurance verification
- Medical billing
- Payment posting
- Claim denials management
- Claim appeals handling
- Thorough claims reviews
- Insurance claims
- Healthcare billing
- Electronic claims processing
- Insurance claims management
Timeline
Medical Claims Specialist
Acclara / R1 RCM
2024 - Current
Provider Claim Resolution Specialist
Concentra Remote
2022 - 2024
Receptionist
German Hill Nursing Home
2017 - 2022
High School Diploma -
Patapsco Highschool
CCMA -
Stepful Medical Assistant Program