Denise G.
About Denise G.
Denise G. is a Veterans Affairs Claims Processor at WPS Health Solutions, where she has worked since 2019. She holds a Bachelor of Science in Psychology and a Master of Arts in Educational Leadership from the University of Central Florida.
Work at WPS Health Solutions
Denise G. has been employed at WPS Health Solutions as a Veterans Affairs Claims Processor since 2019. In this role, she is responsible for ensuring the accuracy and compliance of claims submissions. She engages in correcting errors within claims to facilitate proper adjudication and payment processing. Denise also locates and attaches pre-authorizations to claims to assess eligibility for payment. Her expertise in utilizing Facets software plays a crucial role in maintaining claims accuracy.
Education and Expertise
Denise G. holds a Bachelor of Science in Psychology and a Master of Arts in Educational Leadership, both obtained from the University of Central Florida. Her educational background provides her with a strong foundation in understanding human behavior and effective leadership practices. This knowledge is applicable in her current role, where she processes claims and communicates with healthcare providers.
Background
Before joining WPS Health Solutions, Denise worked as a Customer Care Coordinator at Capital One from 2016 to 2018. In this remote position, she developed skills in customer service and communication, which are essential in her current role in claims processing. Her transition from customer care to claims processing reflects her adaptability and commitment to supporting veterans.
Technical Skills
Denise G. employs various software tools in her role as a Veterans Affairs Claims Processor. She utilizes Facets software to ensure claims accuracy and compliance with original submissions. Additionally, she uses Eloquence software for drafting and sending written communications to healthcare providers. These technical skills enhance her efficiency in processing claims and maintaining clear communication.