Experience

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  Eye Associates Northwest

  • Seattle, Washington, United States

  • Revenue Cycle Specialist

    • 2023 - Present
    • Seattle, Washington, United States

    ● Navigate online Payor portal and website.● Solid knowledge of medical terminology, abbreviations and anatomy.● Verify accurate information for claims prior to billing.● Process all primary, secondary, and tertiary claims; address edits & rejections.● Post patient, insurance, and third-party insurance payment.● Credit resolution for both insurance and self-pay credits.● Follow up on patients past due balance and bad debts.● Answer customer billing inquiries and payments.

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  QuaNext

  • Greater Seattle Area

  • Founder & CEO

    • Jan 2013 - Present
    • Greater Seattle Area

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  Sound Transit

  • Seattle, Washington, United States

  • Senior Revenue Analyst

    • 2022 - 2023
    • Seattle, Washington, United States

    Played a key role in developing the next gen ORCA fare collection system,scheduled for rollout in 2023. In 2019, the ORCA program processed over $275million in fare revenue annually. Effectively managed analytical and accountingroles, developing a quick understanding of operational needs.● PRICING MODEL ANALYSIS: Assessed employee benefit pricing forrefinements. Enhanced complex data pricing models.● REPORT AND DASHBOARD DEVELOPMENT: Developed reports andreconciliation tools to ensure compliance with regional policies andprocedures; developed ad hoc financial reporting; designed dashboards fortrend analysis by senior management.● FORECASTING: Formulated cash flow forecasts.● PROCESS IMPROVEMENT: continuously evaluated policies, processes, internalcontrols, and best practices to maximize efficiencies; recommended accountsreceivable process improvements and performed root cause analysis.● COLLABORATION WITH CONTRACT MANAGERS: Supported vendorpurchase orders, change orders, and regional cost allocations.

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  EvergreenHealth

  • Greater Seattle Area

  • Billing Analyst

    • Feb 2016 - 2022
    • Greater Seattle Area

    ● Assisted with revenue cycle management in developing gross and netmargin revenue.● Developed annual budget based on data input from multiple departmentswithin organization.● Resolved charge edit errors and recommended programming changes toincrease clean claim percentage rate.● Ensured charge code descriptions are accurate and based on the CPT andHCPCS guidelines.

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  Beacon Hill Staffing Group

  • Billing Analyst

    • Aug 2014 - Dec 2015

    PUGET SOUND GASTROLOGY (BEACON HILL STAFFING) | 2015● Followed up on aged patient accounts and worked to regularize accounts.● Provided needy patients with resources to assist pay off aged balances.● Submitted past due accounts for collections.● Generated and billed secondary and other payers for outstanding accounts.BLOODWORK NW (BEACON HILL STAFFING) | 2015● Followed up on aged billing for Bloodwork unit.● Assisted patients with resources to help bring accounts current.● Created spreadsheet with data to maximize collection and payments onspecial accounts.● Skip traced patient data to identify correct billing address.

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  Swedish Medical Center

  • Seattle, Washington, United States

  • Credit Analyst

    • Jan 2011 - Apr 2014
    • Seattle, Washington, United States

    ● Audited patient credit balances and performed calculations to requisitionrefunds.● Researched EOBs, procedure, and diagnosis codes; documented, posted,and summarized external payments.● Processed and corrected account data using automated accounting financialsystems and databases.● Regenerated and processed medical (CMS 1500) and hospital (UB40) claimsaccording to carrier contracts.● Analyzed and implemented information and reporting systems tomonitor/correct variations in revenue cycle.

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  Aetna

  • Seattle, Washington, United States

  • Senior Claims Benefits Specialist

    • Apr 2004 - Nov 2009
    • Seattle, Washington, United States

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  Group Health Cooperative - Capitol Hill Campus

  • Greater Seattle Area

  • Senior Billing Specialist

    • Oct 2008 - Apr 2009
    • Greater Seattle Area

    Responsible for high-level billing administrative functions, such as preparing and presenting revenue audits, usage reports, charge, billings, researching complex billing issues. Also served as a liaison between financial and operational managers, clinicians, and staff. Assisted in collecting on outstanding accounts total value of approx. $7MIL during transition from MYSIS to EPIC financial system.