DAVID S. DARRETT

• Directed all operational functions, enhancing client and vendor relations through effective negotiations.
• Analyzed complex legal invoices to identify and rectify billing irregularities.
• Negotiated advantageous billing rates and service agreements with law firms.
• Researched legal documentation issues to address client inquiries and support appeal requests.
• Spearheaded process improvements, significantly reducing internal costs.

• Conducted comprehensive research on legal precedents and relevant policies for hearings.
• Analyzed laws and statutes to ensure equitable decision-making processes.
• Reviewed CPT codes to verify accurate payment amounts in medical billing.
• Prepared trial cases, effectively representing interests of insurance companies.
• Authored settlement agreements and detailed reports based on thorough file analyses.
• Maintained consistent monthly billable hours of 160 to 180.
• Attended WCAB court hearings to advocate for employer and insurer interests.
• Investigated claims for eligibility, reviewing medical reports and supporting evidence.

Managed over 85 active files, maintaining a rigorous 30- to 60-day update diary for insurance adjusters.

Developed strategic defenses against medical provider claims through data analysis and regulatory compliance.

Negotiated lien resolutions and prepared trial cases for insurance carriers.

Authored settlement documents and detailed case reports, ensuring thorough file analysis.

• Documented all review processes, including notes, observations, analyses, and recommendations.
• Interpreted medical reports to apply correct ICD-9, CPT-4, and HCPCS codes.
• Coordinated with billing department to resolve coding-related billing issues.
• Reviewed patient health data and medical histories for accurate coding applications.
• Managed coding across multiple specialties, ensuring precise code assignments.
• Organized ongoing settlement negotiations and documented resolutions thoroughly.
• Assessed medical documentation and invoices to identify improper billing practices.
• Gathered and analyzed documentation to support claims during litigation.

• Attended lien conferences and trials to negotiate settlements and litigate contested liens effectively.
• Adhered strictly to Lien Department negotiation parameters while ensuring full compliance with relevant laws and regulations.
• Managed court scheduling, including setting dates, and maintaining a detailed, accurate court calendar.
• Managed court scheduling, including setting dates, and maintaining a detailed, accurate court calendar.
• Prepared and maintained comprehensive hearing reports.