Experience

Kona Community Hospital
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Patient Account Representative

  • Jun 2021 - Present

Bay Clinic, Inc.
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Medical Billing Specialist

  • Nov 2020 - Jun 2021


Alternate Solutions Health Network

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Reimbursement Specialist II

  • Oct 2017 - Nov 2020

  Over 10 years of medical claims billing/follow-up for HMO/PPO/Medicare/Hospice claims Over 10 years of medical claims billing/follow-up for HMO/PPO/Medicare/Hospice claims



Premier Health Partners

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

• Medical Claims Specialist

  • Feb 2016 - Oct 2017

  Responsible for the accurate and timely filing of all third-party claims. Perform all routine and special follow-up on all assigned accounts by phone or correspondence. Document all activity on accounts including corrections, collection activities. Work on Quadex to obtain remits and payments posted. Work on EPIC. Responsible for the accurate and timely filing of all third-party claims. Perform all routine and special follow-up on all assigned accounts by phone or correspondence. Document all activity on accounts including corrections, collection activities. Work on Quadex to obtain remits and payments posted. Work on EPIC.



CompuNet Clinical Laboratories

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

• Billing Account Representative

  • Sep 2014 - Dec 2015

  Responsible for all billing/data entry, processing third-party billing and follow-up. Handle cash/credit postings; account adjustments and refunds. Deal with internal and external patients, clients and third-party payers. Work with QBS (Quest Billing System) and WBS (Web Billing System). Responsible for all billing/data entry, processing third-party billing and follow-up. Handle cash/credit postings; account adjustments and refunds. Deal with internal and external patients, clients and third-party payers. Work with QBS (Quest Billing System) and WBS (Web Billing System).



Anthem

• Management Consulting
• 1 - 100 Employee

• Claims Representative II

  • Nov 2008 - Sep 2014

  Responsible for all processing and/or adjusting health claims, and follow-up. Worked with multiple products such as HMO, PPO, Medicare Advantage, FEP. Worked with WGS. Responsible for all processing and/or adjusting health claims, and follow-up. Worked with multiple products such as HMO, PPO, Medicare Advantage, FEP. Worked with WGS.