Experience

Pinnacle Medical Billing Solutions, LLC

• United States
• Financial Services
• 1 - 100 Employee

• Founder

  • Jun 2017 - Present

  Pinnacle Medical Billing Solutions specializes in Behavioral Health which includes Mental Health and Chemical Dependency and Laboratory services. Our Focus is maximizing revenue for our behavioral health provider. Pinnacle Medical Billing Solutions specializes in Behavioral Health which includes Mental Health and Chemical Dependency and Laboratory services. Our Focus is maximizing revenue for our behavioral health provider.



The Core Centers LLC

• United States
• Health, Wellness & Fitness
• 1 - 100 Employee

• Utilization Review Director

  • Aug 2016 - Aug 2017

  UR contacts the clinician from patients insurance company to obtain a pre-certification for the Level of care the patient is being admitted into. Behavioral Health (Mental Health or Chemical Dependency)level of care (DETOX, RES, PHP, IOP, OP) UR conducts Appeals (Peer to Peer, 2nd appeal and so on I will not stop until i go through all the appeal process into getting my clients patient authorized at the level of care they're being admitted into.Train clinical directors and therapist on providing medical necessity into their EMR/EHR system.



Urgent Medical Billing

• Wellness and Fitness Services
• 1 - 100 Employee

• Utilization specialist

  • Jan 2016 - Aug 2016

  I was in charge of handling 6 behavioral health companies both mental health and chemical dependency majority dual diagnosis programs. I would conduct calls with clinicians to get our clients patient authorized. In order to start the claim process we must verify if patient needs in authorization for services that are going to be rendered in the Level of Care that's provided. I was in charge of handling 6 behavioral health companies both mental health and chemical dependency majority dual diagnosis programs. I would conduct calls with clinicians to get our clients patient authorized. In order to start the claim process we must verify if patient needs in authorization for services that are going to be rendered in the Level of Care that's provided.



Archstone Behavioral Health

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

• Billing Coordinator

  • Jan 2015 - May 2016

  Behavioral Health Treatment Centerinsurance verificationclaim submission ICD-9 TO ICD-10 codingCollection up to 365+ Behavioral Health Treatment Centerinsurance verificationclaim submission ICD-9 TO ICD-10 codingCollection up to 365+