Health claim audits expert witness work shapes her more than 20 years of experience in medical, dental, pharmacy, behavioral health, workers compensation, and provider network claims auditing. Her expertise includes workers compensation bill and invoice audits, provider network discount audits, insurance policy compliance, medical billing, accidental injury claim reviews, insurance policy language litigation, hospital accounts receivable processes, and estimates of future medical costs. She has spent more than 15 years providing consultations and deposition as a health claim audits expert witness.

Her claims audit experience includes coordination of benefits, application of plan benefits, duplicate payments, payment calculations, subrogation, network discounts, eligibility, pharmacy rate calculations, authorizations, medical necessity review, copays, AWP discounts, claims system validation, and final reports. She has performed medical claims analyses, prepared responses to requests for production and interrogatories, assisted with trial preparation, and evaluated reimbursement issues involving medical insurance claims, workers compensation claims, cancer insurance policies, automobile accident claims, life care plan review, public insurance eligibility, breach of contract issues, hospital underpayments, and future claim liability. She has held president-level responsibility in health claims auditing, claims analysis, network contract review, hospital and physician consulting, and accounts receivable review. Her prior leadership responsibilities include division director, business office director, controller, and accounts receivable manager work involving insurance billing, admitting, medical records, case management, collection agency oversight, pre-admission testing, communications, outpatient scheduling, patient accounting, financial operations, charge master programs, pre-registration systems, managed care audits, corporate billing compliance, and reimbursement improvement. She has education in accounting and computer science and holds Certified Manager of Patient Accounts and Advanced Patient Accounts Manager credentials, with professional involvement through the Healthcare Financial Management Association.