Experience

UST HealthProof

• Claims Examiner



Community Access Network

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

• Medical Billing Specialist

  • Jan 2020 - Aug 2021

  Billing Specialist for Medicare, VA Medicaid and Commercial Payors. Worked daily aged claims in Athena , claim appeals and Reconsiderations on denied claims. Worked in E-clinical Works processing claims and denials. all denials. I currently work in E-Clinical works system and I have worked in Athena for the six years as a Medical Biller. Billing Specialist for Medicare, VA Medicaid and Commercial Payors. Worked daily aged claims in Athena , claim appeals and Reconsiderations on denied claims. Worked in E-clinical Works processing claims and denials. all denials. I currently work in E-Clinical works system and I have worked in Athena for the six years as a Medical Biller.



Ridgeview Dermatology

• United States

• Medical claims/Appeal Specialist

  • Dec 2018 - Jan 2020

  Physician Specialty billing in Modernizing EHR system. Work denials and clean claim process daily processing of claims. Responsible for all appeals with Medicaid, Medicare and all payors. Post payments and answered phone calls from patient for all patient concerns. Physician Specialty billing in Modernizing EHR system. Work denials and clean claim process daily processing of claims. Responsible for all appeals with Medicaid, Medicare and all payors. Post payments and answered phone calls from patient for all patient concerns.



Capital Anesthesia Billing Services

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

• Liaison Officer

  • Jul 2016 - Jan 2019

  Pickup Anesthesia records from Centra Health Medical portal system daily. Create Medical records batch and upload into Capital Anesthesia system to Medical billers to process. Pickup Anesthesia records from Centra Health Medical portal system daily. Create Medical records batch and upload into Capital Anesthesia system to Medical billers to process.



Centra Health

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

• Claims Processor

  • Sep 2012 - Dec 2018

  Process claims for Cardiology, behavior health, Pediatric physicians in office and hospital setting. Athena health and Cerner Medical Application. In processing claims I register patients in system. Verify eligibility, adjudicate claims with primary, secondary and tertiary insurances. Data entry, Appeals denials from insurance companies electronically and or paper reconsideration process. Process claims for Cardiology, behavior health, Pediatric physicians in office and hospital setting. Athena health and Cerner Medical Application. In processing claims I register patients in system. Verify eligibility, adjudicate claims with primary, secondary and tertiary insurances. Data entry, Appeals denials from insurance companies electronically and or paper reconsideration process.