Experience

Invitae

• United States
• Biotechnology Research
• 700 & Above Employee

• Billing and Reimbursement - Prior Authorization Sub Lead

  • May 2017 - Present



Applied Proteomics, Inc.

• United States
• Biotechnology Research
• 1 - 100 Employee

• Reimbursement Business Analyst

  • Oct 2015 - Dec 2016

  San Diego • Reporting directly to the Director of Reimbursement and engaged with the Management team on all reimbursement aspects. • Responsible for working with payors to ensure the appropriate billing guidelines and policies are presented and implemented in the system. • Monitors billing/collections staff efficiency through audit processes. • Ensures the payor policy and reimbursements terms are reflected in the system. • Ensures Company pricing and discount policies are administered… Show more • Reporting directly to the Director of Reimbursement and engaged with the Management team on all reimbursement aspects. • Responsible for working with payors to ensure the appropriate billing guidelines and policies are presented and implemented in the system. • Monitors billing/collections staff efficiency through audit processes. • Ensures the payor policy and reimbursements terms are reflected in the system. • Ensures Company pricing and discount policies are administered correctly. • Researched and resolves problem accounts to ensure collection standards and decreases days sales outstanding (DSO). Show less



Acadia Healthcare

• United States
• Mental Health Care
• 700 & Above Employee

• Medical Biller/Collector

  • May 2015 - Oct 2015

  Carlsbad • Responsible for managing the billing each month for clinics. • Responsible for providing analysis for AR on unpaid claims. • Responsible for working rejected claims. • Works with team members to relay pertinent patient data where needed regarding a billing claim or eligibility. • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations in relation to billing, collection of data, and Personal Health Information (PHI).



Breg

• United States
• Medical Equipment Manufacturing
• 500 - 600 Employee

• Lead SME

  • Feb 2014 - Jun 2015

  Carlsbad • Responsible for staff training on new or updated billing processes or function for both on and off shore teams • Responsible for communicating and special handling of accounts requiring escalations. • Analyze and comprehend order documents to identify potential gaps or missing documents required to finalize the order. • Responsible for providing analysis for Complex Medical Review claims. • Responsible for providing guidance to team members on the appropriateness of… Show more • Responsible for staff training on new or updated billing processes or function for both on and off shore teams • Responsible for communicating and special handling of accounts requiring escalations. • Analyze and comprehend order documents to identify potential gaps or missing documents required to finalize the order. • Responsible for providing analysis for Complex Medical Review claims. • Responsible for providing guidance to team members on the appropriateness of appealing claims. Show less



LifeCare Solutions

• Wellness and Fitness Services
• 100 - 200 Employee

• Medicare Oxygen CMN Lead

  • Feb 2009 - Feb 2014

  San Diego



Modern Postcard

• United States
• Advertising Services
• 1 - 100 Employee

• Production Specialist

  • Jan 2007 - Oct 2008

  Carlsbad Managed a team for orders placed online, mail and from sales department Prepped and billed orders for daily production and mailing deadlines Responded to emails from both internal and external customers Reviewed orders for quality assurance and print/mail layout requirements Customer service for questions and concerns via call center, email and faxes