Experience

EHIM, Inc.

• United States
• Insurance
• 1 - 100 Employee

• Claims Adjudicator

  • Jan 2019 - Present



AudioNet America

• Clinton Township, Michigan

• Claims Coordinator

  • Jan 2018 - Dec 2018

  During my time at AudioNet America, I manually processed over 3,000 claims with a 98% accuracy rate for Michigan Rehabilitation Services within their TAT expectation timeframe. I worked closely with my Director of Claims to build an effective claims department. In doing so, I created standard operating procedures for the department. I participated and recorded minutes for all meetings pertaining to the claims department, reviewed claims to identify errors and obtained missing documentation from outside facilities. In addition, I worked with the finance department, IT, and customer service to ensure accurate processing of claims. Show less



MOLINA HEALTHCARE INC

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

• Administrative Assistant

  • May 2017 - Dec 2017

  Throughout my time as Administrative Assistant to the Director of Claims and Operations, I assisted not only the director by providing support for seven of eight health plans but also assisted the management team with assigned projects when needed and followed through with meeting dictation to ensure projects were completed in a timely manner. As administrative Assistant I also scheduled meetings for Director of Claims and Operations along with managers, recorded minutes and distributed minutes throughout enterprise. Completed inventory for office supplied and ordered when needed. Show less

• Claims Examiner

  • Oct 2015 - May 2017

  During my time as a Claims Examiner I met and consistently maintained department production and quality standards to achieve KPI goals. I also supported all department initiatives in improving overall efficiency with the utilization of claims software (ie. QNXT & WEB.STRAT) to input claims that did not pass mass adjudication. I processed claims that came through on UB-04 & HCFA 1500 forms (ie. Outpatient, Dialysis, Skilled Nursing Facility, and Emergency Room claims). During this position I was able to achieve the turnaround time (TAT) expectation of eleven days. Show less



Michigan Ear Institute

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

• Physician Scheduler

  • Dec 2013 - Sep 2015

  As a Physician Scheduler for Michigan Ear Institute I scheduled and followed up with patients for audiology tests and physician appointments with the use of Centricity scheduling software for multiple facilities and physicians. I also coordinated with Wayne State Physician Group to schedule hearing tests for the Lions Clinic. I was also cross trained to fill in for department manager while they were away. As a Physician Scheduler for Michigan Ear Institute I scheduled and followed up with patients for audiology tests and physician appointments with the use of Centricity scheduling software for multiple facilities and physicians. I also coordinated with Wayne State Physician Group to schedule hearing tests for the Lions Clinic. I was also cross trained to fill in for department manager while they were away.