Experience

CarePayment

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Client Support Specialist

  • Feb 2022 - Present



Adventist Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Medical Biller

  • Dec 2019 - Aug 2020

  Billing follow up Specialist Billing follow up Specialist



Adventist Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Billing Specialist

  • Feb 2019 - Aug 2019



Senior Connections

• Vancouver, Washington

• Medical Billing Specialist

  • May 2015 - Dec 2016



Fora Health Treatment & Recovery

• United States
• Mental Health Care
• 1 - 100 Employee

• Medical Billing Clerk

  • Oct 2015 - Feb 2016

  ● Responsible for resolving insurance claims rejections/denials, and non-payment of claims by payors. Including identifying, researching, and resolving credit balances, and missing payments. ● Performed Billing & Coding functions. Verified and ensured correct CPT/HCPCS ICD 9/10 coding was in compliance and in accordance with contracts and policies before billing claims out. ● Applied Payments from payors and patients. Performed Account Receivable functions. ● Communicated with government and private insurances via phone or web portal. Show less



Providence Health & Services

• Hospitals and Health Care
• 700 & Above Employee

• Accounts Receivable Specialist

  • Oct 2014 - Jun 2015

  ● Worked payer claims either by aging date, or more likely by payor categories ● Utilize all tools available to understand status of a claim at the 30 to 45 day mark depending on the payor ● Checked websites, IVR systems, and phone calls to the payor as needed. ● Reconciled 45 - 60 claims on daily basis. ● Work claims as prioritized by the team based on knowledge of the client, their status with payors and knowledge of difficult payers for that client (Private Insurance, Worker Comp, Medicaid, Third Party Payor’s, etc.) ● Communicate problems with payers to the Account Manager and determine if client involvement is needed in understanding their relationship to the payor ● Identified denials or requests for more information to support the claim, documentation for medical necessity or functional status, etc. and resolved if simple and can be done in 30 min or less ● Kept claims regulation knowledge up to date ● Recognized, analyzes and reports on data related to underpayments, denials, revenue opportunities and revenue leakage ● Responded to client tasks in regard to AR or patient accounts ● Answered phone calls from clients and patients in regard to AR and patient statements Show less