Experience

Florida Hospital New Smyrna formerly Bert Fish Medical Center

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

• • May 2013 - Present

  Responsible for complex payers, including accounts receivables resolution and customer service.• Ensures contract compliance of assigned payers and resolves denials in a timely and appropriate manner.• Follows up on internal and external requests accurately and expeditiously to process information and resolve issues.• Responds to directives and assignments in a timely manner while conveying professionalism and cooperation during interactions with co-workers, provider representatives, and others.• Achieves and consistently maintains daily, weekly, and monthly productivity and quality goals as determined by department needs and standards.• Regularly advises supervisor/manager of trends and inconsistencies to resolve issues and maintain quality assurance standards.• Reviews documentation in system, notes required correspondence and action, corrects inaccurate information as appropriated, and notifies supervisor/manager of any unusual occurrences.• Participates actively in meetings to build cohesive team by responding to inquiries, making recommendations, sharing observations and respecting other team members’ input. Show less

• • May 2013 - Apr 2016



SHERLOQ Solutions

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

• Medical Biller

  • 2008 - 2010

  Billed Claims for private and major health insurance carriers; verified information on accounts for accuracy; resolved payment issues with insurance carriers. Billed Claims for private and major health insurance carriers; verified information on accounts for accuracy; resolved payment issues with insurance carriers.



Kaiser Permanente

• Hospitals and Health Care
• 1 - 100 Employee

• Billing Clerk

  • Dec 2007 - Jul 2008

  Billed and processed claims for Iowa Medicaid; verified admissions for accuracy; prepared precertifications; verified insurance coverage; assisted patients with questions; Coordinated with the Department of Human Services in Marshalltown and surrounding communities to obtain accurate insurance coverage information for patients. Billed and processed claims for Iowa Medicaid; verified admissions for accuracy; prepared precertifications; verified insurance coverage; assisted patients with questions; Coordinated with the Department of Human Services in Marshalltown and surrounding communities to obtain accurate insurance coverage information for patients.