Experience

AOM Infusion

• Hospitals and Health Care
• 1 - 100 Employee

• Account Resolution Specialist

  • Feb 2023 - Present



Lennar Mortgage

• United States
• Financial Services
• 400 - 500 Employee

• Mortgage Loan Processor

  • Sep 2020 - Jan 2023

  • Developed and maintained positive relationships with clients through quality, efficient, and friendly customer service, while making sure all disclosures were received, reviewed, and understood. • Accurately processed loans from initial set-up through funding by verifying all data was accurately loaded into company software matching the loan application and guidelines of loan product. • Ensured all underwriting conditions were met with all documentation within 30-days or less with continuous communication with clients and guidance with gathering required documentation to avoid delays in timely closing and funding. • Maintained knowledge of all loan product guidelines through continuous research and education. • Ordered appraisals, homeowner's insurance, and mortgage insurance, and monitored for receipt for timely completion and approval for final title docs to be prepared for closing and funding. Software: Microsoft – Teams, Excel, Word, Outlook, and One Note; Adobe Acrobat; DocuSign; Encompass – mortgage software; Blend – cloud-based banking platform; Salesforce – customer relationship management (CRM) platform; TitlePro 247 – property data and analytics. Show less



Flex Technology Group

• United States
• IT Services and IT Consulting
• 100 - 200 Employee

• Contract Billing Specialist

  • Dec 2019 - Jun 2020

  • Seamless integration of 100+ contracts for newly acquired company throughout the onboarding process, while building positive client relationships with the company’s president. • Performed quality control checks to confirm accurate information, including the terms and conditions specific to each contract was entered into billing system. • Controlled invoicing process to ensure accurate and timely custom invoicing. • Researched and quickly resolved any billing discrepancies to avoid any delays in billing process. Software: Microsoft – Teams, Excel, Word, and Outlook; Nitro PDF; EAutomate – cloud-based ERP platform; EViews – data tracking for expiring contracts and last billed meters; FM-Audit – meter reporting, toner consumption, device health, etc.. Show less



Banner Homecare

• Gilbert, AZ

• Sr. Home Infusion Therapy (HIT) Biller/Patient Financial Services (PFS) Rep

  • Feb 2019 - Jul 2019

  • Provided team leadership, guidance, and training to patient financial service representatives. • Audited patient accounts, delivery tickets, and nursing notes to confirm patients received correct and timely delivery based on pharmacist notes and physician orders. • Reviewed fee schedules to ensure the system was updated with current pricing for accurate billing. • Created and submitted clean claims to third-party payers, including several commercial payers, Medicare, Medicaid, and National Contracts, for all Home Infusion Therapy (HIT), as well as nursing visits when applicable. • Processed payments, correspondence, and adjustments for claims as assigned, researched denials, and processed appeals, refunds or resubmitted corrected claims if needed. • Worked with facility contracts, 3rd party payer remits, and spreadsheets to reconcile account balances and collected outstanding balances from payers by submitting appeals and contacting provider services reps. Show less



Coram CVS/Specialty Infusion Services - FKA Reimbursement Concepts

• Tempe, AZ

• Senior Reimbursement Specialist

  • Jan 2018 - Feb 2019

  • Resolved outstanding claims aged over 120 days as part of a specialty reimbursement team, with use of numerous software platforms and tools. • Audited outstanding/unpaid Medicare claims for billing and payment errors. • Prepared and submitted upper level appeals or corrected claims when still within timely collections window. • Submitted claims to secondary / supplemental payers when applicable, for payment or denial, prior to submitting adjustment requests to management. • Created training document for collections steps and decision tree for when and where to submit write-off requests that significantly reduced the number of requests for write-offs, and helped ensure the requests that were sent, went to the correct person. Software/Tools: Citrix, HC360 – Revenue Cycle Management tools; MediAR – financial transaction tracking; ePremis – claims editing and document control, Claims Engine 2000 (CE2000) – real time claim response, NovoLogix – prior authorization for specialty drugs, Enterprise Content Manager (ECM) – document imaging and electronic medical records, Rock-Pond – AR reports Show less



Sprouts Farmers Market

• United States
• Retail
• 700 & Above Employee

• Administrative Coordinator/Bookkeeper

  • Sep 2017 - Feb 2018

  Conducted in–store accounting procedures necessary to meet the company’s financial reporting requirements. Audited all time clock entries for the previous day and update as needed with missed punches, time off requests, and attendance points. Was responsible for all cash and funds control pursuant to company policies and procedures. Checked the accuracy of figures, calculations, and postings pertaining to business transactions recorded by other workers. Conducted in–store accounting procedures necessary to meet the company’s financial reporting requirements. Audited all time clock entries for the previous day and update as needed with missed punches, time off requests, and attendance points. Was responsible for all cash and funds control pursuant to company policies and procedures. Checked the accuracy of figures, calculations, and postings pertaining to business transactions recorded by other workers.



Oasis Behavioral Health Hospital

• United States
• Mental Health Care
• 1 - 100 Employee

• Lead Financial Counselor

  • May 2017 - Aug 2017

  As a liaison between the patients and their insurance providers, I contacted third-party insurance companies to obtain current benefit details and coverage amounts. Educated and provided financial advice to patients based on the information obtained from the payors, and assisted in completing proper documentation as required. Was responsible for strategizing and negotiating payment arrangements with patients or legal guardians. Accurately and efficiently processed patient payments for copays, coinsurance, and private pay. Updated system with all notes related to the payment arrangement and communicated with the billing office, Billing Office Director, and VP of Finance findings and status as needed for billing and collection purposes. Show less

• Business Office Associate

  • Dec 2016 - May 2017

  Called to status outstanding claims through third party payors. Reviewed EOBs and claims, and submitted corrected claims or appeals through clearing house or directly to third party payor as needed for accurate payments. Met daily productivity requirements through the patient accounting system and productivity report while maintaining and successfully working 30-40 accounts per day. Attended weekly AR meeting to provide updated status and overview for the week. Assisted Financial Counselors and completed adjustment forms for manager review based on contractual payments or patient financial agreements. Periodically followed up on benefit eligibility and promptly notified both the Financial Counselors and Business Office Director of any changes. Show less



Optum Rx, FKA Axelacare, FKA Sirona Infusion LLC

• Chandler, Arizona, United States

• Reimbursement Specialist - Home infusion

  • Jul 2008 - Dec 2016

  • Reviewed new charts and compared with data loaded in system for accuracy, while updating or flagging any discrepancies as needed. • Verified that the proper HCPCS, ICD-10, and CPT codes were selected, and prior authorizations were in place for accurate billing. • Maintained payer contracts for updates or changes to allowable amounts and exclusions for reimbursement of home infusion therapies, and researched changes to red-book and blue-book drug reimbursement amounts. • Prepared clean claims and sent to the payers electronically through clearing house, or via mail as required by the payer. • Worked with aging reports, followed-up with provider service reps regarding outstanding A/R, reviewed denials, and submitted corrected claims or appeals as needed. • Kept accurate log of all requests for medical information and records. • Trained new employees on multiple medical billing programs and data entry software. • Often assisted IT department with employee requests for accessing and navigating various programs including CPR+, Rock-Pond Solutions (Mediware), Zirmed (Waystar), as well as Microsoft Office products. Show less