Experience

Mercalis

• United States
• Pharmaceutical Manufacturing
• 100 - 200 Employee

• Support Coordinator

  • Jun 2023 - Present



Pear Therapeutics

• United States
• Biotechnology Research
• 1 - 100 Employee

• Case Manager

  • Sep 2020 - Apr 2023

  • Build positive relationships with healthcare providers and field sales team • Advocate on patient’s behalf with internal and external stakeholders to resolve inquiries, troubleshoot issues, and navigate health insurance processes to achieve and maintain product access. • Travel to other states, 50% of time, to visit clinic locations, to onboard patients and providers to Pear products. • Build positive relationships with healthcare providers and field sales team • Advocate on patient’s behalf with internal and external stakeholders to resolve inquiries, troubleshoot issues, and navigate health insurance processes to achieve and maintain product access. • Travel to other states, 50% of time, to visit clinic locations, to onboard patients and providers to Pear products.



The Palomino Group

• United States
• Pharmaceutical Manufacturing
• 1 - 100 Employee

• Medical Reimbursement Specialist

  • Jan 2018 - Sep 2020

  • Get patients situated with insurance reimbursement for enteral feeding and supplies • Assist Home Health companies in the conversion of product formularies • Verify medical insurance benefits, obtain payer forms • Provide information pertaining to claims, including billing and coding assistance • Assist with claim denials and appeals • Get patients situated with insurance reimbursement for enteral feeding and supplies • Assist Home Health companies in the conversion of product formularies • Verify medical insurance benefits, obtain payer forms • Provide information pertaining to claims, including billing and coding assistance • Assist with claim denials and appeals



UNC Physicians

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

• Reimbursement Analyst

  • Jun 2016 - Jan 2018

  • Analyzed the revenue cycle for the departments of Otolaryngology, Neurosurgery, and Neurology within UNC Hospitals, as well as UNC’s subdivisions within the UNC Rex Hospital system • Proactively analyzed denials for issues/trends, and worked with various departments to get them resolved • Presented the Clinical Financial Activity Reports to the department’s leadership at monthly departmental meetings • Run ad hoc analyses as needed for both internal and external clients • Analyzed the revenue cycle for the departments of Otolaryngology, Neurosurgery, and Neurology within UNC Hospitals, as well as UNC’s subdivisions within the UNC Rex Hospital system • Proactively analyzed denials for issues/trends, and worked with various departments to get them resolved • Presented the Clinical Financial Activity Reports to the department’s leadership at monthly departmental meetings • Run ad hoc analyses as needed for both internal and external clients



Legacy Healthcare Solutions

• United States
• Hospitals and Health Care

• Medical Billing Specialist Insurance Follow-Up

  • Feb 2016 - Apr 2016



Baby and Company

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

• Billing Specialist

  • Apr 2015 - Dec 2015

  • Effectively supported accounting endeavor, of recovering 6mos of post-due/missing accounts receivable, by performing medical billing and deposit reconciliation • Research aging reports and get the delayed claims, and proceed in getting them paid if possible • Maintain record of insurance and patient payments in Excel • Perform patient demographic analysis • Effectively supported accounting endeavor, of recovering 6mos of post-due/missing accounts receivable, by performing medical billing and deposit reconciliation • Research aging reports and get the delayed claims, and proceed in getting them paid if possible • Maintain record of insurance and patient payments in Excel • Perform patient demographic analysis



Doctors Making Housecalls

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Billing Specialist

  • Apr 2014 - Apr 2015

  - Responsible for manually posting and balancing daily batches; prepare income reports and statistics - Call insurance companies regarding any discrepancy in payments when necessary - Process billings to patients and third party reimbursement claims - Perform patient check-in - Follow up on submitted claims, monitor unpaid claims, initiate tracers, monitor and resubmit claims as needed - Maintain patient demographic information and data collection systems - Responsible for manually posting and balancing daily batches; prepare income reports and statistics - Call insurance companies regarding any discrepancy in payments when necessary - Process billings to patients and third party reimbursement claims - Perform patient check-in - Follow up on submitted claims, monitor unpaid claims, initiate tracers, monitor and resubmit claims as needed - Maintain patient demographic information and data collection systems



Harnett Health

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Coordinator, Customer Care

  • Jan 2013 - Nov 2013

  - Developed plans for new hospital customer care services - Instituted and continuously improved routine service productivity tracking analysis reports - Coordinate hiring and orientation of new employees and volunteer staff - Supervisor over staff of 6 customer care representatives - Ensured flow of information between patients/families and hospital/medical staff - Led implementation of new children’s art exhibit program at the hospital through collaboration with Harnett County… Show more - Developed plans for new hospital customer care services - Instituted and continuously improved routine service productivity tracking analysis reports - Coordinate hiring and orientation of new employees and volunteer staff - Supervisor over staff of 6 customer care representatives - Ensured flow of information between patients/families and hospital/medical staff - Led implementation of new children’s art exhibit program at the hospital through collaboration with Harnett County Schools and Harnett County Arts Council

• Administrative Resident

  • Jun 2012 - Jan 2013

  - Successfully strategically planned and executed relocation of hospital business offices - Constructed Metric Analysis System to enhance administrative knowledge of telepsychiatry services - Effectively collaborated across multiple departments, both clinical and non-clinical, for implementing new system-wide, professionally unified, dress code policy - Instrumental in Senior Management purchasing decisions for equipment needed to accommodate new acute care facility by conducting and… Show more - Successfully strategically planned and executed relocation of hospital business offices - Constructed Metric Analysis System to enhance administrative knowledge of telepsychiatry services - Effectively collaborated across multiple departments, both clinical and non-clinical, for implementing new system-wide, professionally unified, dress code policy - Instrumental in Senior Management purchasing decisions for equipment needed to accommodate new acute care facility by conducting and presenting several thorough cost analyses - Played an integral role on Central Harnett Hospital's Project Leadership Team, which was responsible for opening a 50-bed acute care hospital on schedule



Foley Law Firm

• Clerk

  • Aug 2010 - May 2012

  - Handled/ organized confidential client case files - Performed general clerical duties to assist in administrative process - Oriented & trained new staff - Drove out-of-town hand deliveries and distributed at destination - Effectively managed and organize data and schedules - Recorded and submitted information with new client calls - Handled/ organized confidential client case files - Performed general clerical duties to assist in administrative process - Oriented & trained new staff - Drove out-of-town hand deliveries and distributed at destination - Effectively managed and organize data and schedules - Recorded and submitted information with new client calls