Medical Billing and Claims SpecialistMedical Billing and Claims Specialist

Key Achievements:

I verify insurance benefits and provide accurate coverage information to billing teams to support correct claims submission. I interpret insurance policies to determine covered services and maintain accurate patient and client records by documenting verified insurance details efficiently and in compliance with required standards.

Key Achievements:

Data annotation, LLM evaluation, financial operations for AI training

Key Achievements:

I handled credit control, payment follow-ups, bookkeeping, and financial reporting to support efficient financial operations. I also processed biometric claims, preauthorized dialysis services through the NHIF/ SHIF portal, maintained strong client relationships through regular follow-ups, and coordinated with insurance and corporate companies to ensure smooth service delivery and timely claim processing.

Key Achievements:

I managed daily workflow operations, trained and onboarded new staff, and created team schedules to ensure smooth and efficient operations. I also prepared reports for HR and senior management, evaluated staff performance, provided constructive feedback, and supported career growth by identifying development and advancement opportunities

Key Achievements:

I served NHIF, insurance, and corporate clients by processing outpatient and inpatient claims accurately and efficiently. I maintained strong relationships with insurance providers and corporate companies, ensured timely submission of claims, followed up on bill payments, handled insurance reconciliation, and prepared monthly statements for corporate and insurance clients