Experience

CareLinc Medical Equipment

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

• Medicaid HMO Claims Specialist

  • Dec 2021 - Jul 2022

  United States Prepare documents for claims by collecting, analyzing, and summarizing information Detail knowledge of DME coding, HCPCS and Modifier codes Work on EDI exception reports by ensuring the claims get process with the proper documentation. Resolve claims by approving documentation, calculating benefits due, and determining compensation settlement. Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance… Show more Prepare documents for claims by collecting, analyzing, and summarizing information Detail knowledge of DME coding, HCPCS and Modifier codes Work on EDI exception reports by ensuring the claims get process with the proper documentation. Resolve claims by approving documentation, calculating benefits due, and determining compensation settlement. Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations. Protect operations by keeping claims information confidential. Maintain a good relationship with insurance departments and insurance providers Show less



Metro Health

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

• Materials Management

  • Feb 2021 - Aug 2021

  Grand Rapids Metropolitan Area



Gordon Food Service

• Wholesale Food and Beverage
• 1 - 100 Employee

• Non-Stock Logistics Analyst

  • Dec 2005 - Jun 2020

  Grand Rapids, Michigan, United States Collaborate with our Customer Development Specialists to meet the special order needs of our customers. Established and built good working relationships with vendors and brokers to source items. Utilized industry and product knowledge to leverage shipments of products to ensure profitability and efficiency. Negotiate cost associated with special order vendors, updating vendor cost within our systems. Enter and ensure appropriate margins are documented within the system. Ensure the quality of… Show more Collaborate with our Customer Development Specialists to meet the special order needs of our customers. Established and built good working relationships with vendors and brokers to source items. Utilized industry and product knowledge to leverage shipments of products to ensure profitability and efficiency. Negotiate cost associated with special order vendors, updating vendor cost within our systems. Enter and ensure appropriate margins are documented within the system. Ensure the quality of special order vendor performance. Resolve special order vendor invoice and purchase order discrepancies and approve vendor freight payments. Maintain special order processing within established guidelines. Collaborate with our product management team to determine potential items for permanent stock. Initiate, negotiate and execute the return of drop ship products to special order vendors.

• Non-Stock Order Support Specialist

  • Dec 2002 - Dec 2005

  Grand Rapids, Michigan, United States

• Billing Specialist

  • Dec 1997 - Dec 2002

  Grand Rapids, Michigan, United States Responsible for managing medical billing for patients, updating patient information, generating claims, invoices and processing payments.



Airway Oxygen, Inc.

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

• Cash Posting Specialist

  • Mar 1991 - Dec 1997

  Grand Rapids, Michigan, United States Responsible for posting payments received from insurance companies, patients and other entities, towards the settlement of claims, applied to the respective claims / patient accounts or other accounts in the billing system.