Nikita Bogle
Midlothian,VA
Summary
Experienced Reimbursement Specialist dedicated to ensuring clients receive due compensation for various insurance claims. Proficient in use of EPIC for client information input and billing. Confident and competent in negotiations and policy analysis.
Overview
15
15
years of professional experience
Work History
COVID-19 Data Entry Staff Member
Virginia Department of Health
11.2020 - 03.2025
- Organized paper formats, paper backups and material source files.
- Strengthened interdepartmental relationships through effective collaboration on shared projects related to COVID-19 case management.
- Corrected and modified inaccurate files and records.
- Contributed to improved public health response by diligently tracking and reporting COVID-19 cases within the community.
- Accurately enter, update and maintain various databases with in multiple systems.
Insurance Reimbursement Specialist
DaVita
05.2022 - 01.2025
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Monitored and documented over 45 accounts receivable trends and account-specific profitability.
- Review credit balances for governmental and non-governmental payors to compare payments to expected revenue
- Improved the claims processing efficiency by streamlining workflows and implementing best practices.
Credit Specialist
Ensemble Health Partners
01.2018 - 05.2022
- Performed daily reviews 100 account of credit balances on both patient and insurance accounts.
- Create insurance payment over letters
- Correctly adjust accounts to clear credit balance from A/R
- Complete expedited request for patient refunds in timely manner
- Review correspondence to resolve insurance request
- Prepared reports of findings and recommendations
Medical Payment Poster
True Health Diagnostics
06.2010 - 11.2018
- Managed large volumes of data efficiently and with great care on daily basis.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Accurately posted over 500 payments and adjustments both electronically and manually.
- Communicated effectively with others through active listening and dynamic interpersonal skills.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Investigated daily variances and corrected errors to resolve discrepancies.
Education
Associate of Arts - Women's Studies
Virginia Commonwealth University
Richmond, VA06.2018
Skills
- Cash flow analysis
- Account assessment
- Credit management
- Compliance with regulatory requirements
- Financial Documentation
- EPIC
- Analytical reasoning
- Medical claims processing
- Claims analysis
- Accurate payment posting
- Microsoft Excel
Timeline
Insurance Reimbursement Specialist
DaVita
05.2022 - 01.2025
COVID-19 Data Entry Staff Member
Virginia Department of Health
11.2020 - 03.2025
Credit Specialist
Ensemble Health Partners
01.2018 - 05.2022
Medical Payment Poster
True Health Diagnostics
06.2010 - 11.2018
Associate of Arts - Women's Studies
Virginia Commonwealth University
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