Alexis Tomaneng
Claims Auditor/Trainer at Stanford Medicine Partners- Claim this Profile
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Bio
Experience
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Stanford Medicine Partners
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Claims Auditor/Trainer
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May 2016 - Present
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Alameda Alliance for Health
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Hospitals and Health Care
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200 - 300 Employee
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Facilities Assistant/Claims Processor
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Jul 2011 - Dec 2015
As a Facilities Assistant: Supplies clerk. Gathered mail and packages for delivery and distribution. Set up facility hardware and equipment. Maintained receptionist area including greeting visitors and answering telephone and in-person requests. As a Claims Processor: Process front end responsible for correcting errors ensuring that claims are linked to correct member, provider and vendor/address flag. Responsible for processing claims ensuring that all claims are processed and in a timely manner. Applied P&P guidelines to EDI outpatient facility, EDI professional, UB04 outpatient and inpatient claims. Prepare daily and weekly reports on production and claims inventory, maintaining a minimum daily production standard of 262. Assist the Analyst with HCI edits by scanning appeals to the computer, appealing letters in HCI attaching necessary files and updating them in COD showing the files were sent to HCI. Show less
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Manufacturer
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Aug 2010 - Oct 2011
Created Solar Panels Shipping and receiving Forklift Knowledge Created Solar Panels Shipping and receiving Forklift Knowledge
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FedEx Ground
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United States
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Freight and Package Transportation
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700 & Above Employee
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Package Handler
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Mar 2008 - Jun 2009
Maintained confidentiality and professionalism while handling personal and restricted packages Handled 50+ lbs packages daily, successfully lifting while loading/unloading packages into trailer Maintained confidentiality and professionalism while handling personal and restricted packages Handled 50+ lbs packages daily, successfully lifting while loading/unloading packages into trailer
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Education
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Cornerstone College
Certificate, Sterile Processing Technology/Technician