Angela Slatzer
Boise,United States
Summary
Productive Account Manager offering 15 years of experience in medical claims auditing, contract compliance, and overpayment recovery. Effectively communicates and collaborates with cross-functional healthcare teams. Self-directed with remote and office-based experience across diverse markets like San Diego, Columbus, Boise, Billings and Seattle. Innovative problem-solver adept at prioritizing aged accounts receivable and account resolution to minimize debt risk. Skilled using multiple hospital systems including Epic, Cerner, AS400, NextGen, Meditech, McKesson and Oracle.
Overview
18
18
years of professional experience
1
1
Certificate
Work History
Regional Account Manager
UnitedHealthGroup - Optum
07.2004 - 09.2015
- Primary job duties for Optum were to audit, investigate and resolve all types of medical claims (inpatient/outpatient) as well as overpayment recovery and resolution for health plans, commercial customers and government entities
- Enhanced provider satisfaction by proactively addressing concerns and implementing customized solutions
- Worked closely with Patient Financial Services staff and Hospital Management at total of 15 hospital systems within San Diego-CA, Columbus-OH, Boise-ID, Seattle-WA, and Billings-MT healthcare markets
- Identified and analyzed overpayment trends and provided reports as necessary to Management
- Ensured adherence to state and federal compliance policies, reimbursement policies and contract compliance
- Monitored and tracked large claims, including transplant cases.
Reimbursement Specialist and Appeals Processor
Anesthesia Consultants of California Medical Group
03.2003 - 05.2004
- Contacted insurance companies to appeal for proper reimbursement on underpaid claims for 50 Anesthesiologists
- Appealed for payments and underpayments on aged accounts
- Gained extensive knowledge and understanding of billing requirements for HMO, PPO, Medicare, Medicaid, secondary and tertiary billing requirements, cross over claims, private pay billing and third party liability claims
- Other duties included integrated medical coding and billing responsibilities, assisted with outpatient pain management coding.
- Streamlined reimbursement processes by implementing efficient filing and tracking systems.
Divisional Account Support
Dj Orthopedics
10.2001 - 03.2003
- Verified patient eligibility and benefits and coordinate health plans for proper billing
- Managed over 50 account at any given time plus overflow assistance to teammates.
- Obtained pre-authorizations for custom knee orthotics for team of 20 sales representatives in Midwest
- Answered incoming calls to Insurance Billing Department from both patients and insurance companies
- Made outbound calls to patients to review benefits information obtained by Insurance Companies and answered related benefits questions
Fireman
US Coast Guard
06.1997 - 12.2000
- Stationed aboard 378ft High Endurance Cutter, USCGC Midgett.
- Worked in Engineering Department during Operations in Bering Sea and Alaska.
- During latter portion of Coast Guard career opportunity arose to serve at Naval Hospital Bremerton in Medical Records Department. Responsibilities included pulling and delivering over 200 medical records to 17 clinics daily and performed medical record maintenance. After 1.5 years duties were transferred to US Coast Guard Medical Center where functioned as front desk manager for busy medical office that supported over 3500 military personnel. Opened and closed medical office and fielded incoming calls and managed appointment books for 8 providers. Received distinguished awards from US Coast Guard and US Navy for service and was honorably discharged in December 2000.
Education
Some College (No Degree) - Accounting And Business Management
San Diego Mesa Community College
San Diego, CASome College (No Degree) - Medical Procedural Coding Certificate
University of California, San Diego (Extension Program)
San Diego, CaliforniaSkills
- Claims Auditor
- Claims and Account Resolution
- Regulatory Compliance
- Grievance Resolution
- Revenue Growth
- Performance and Trend Tracking
- Contract and Account Management
- Adaptability
- Problem solving
- Analytical thinking
- Proficient in relevant software or tools used in claims processing and data analysis
Certification
AAPC - Certified Professional Coder (CPC), 2003
Medical Procedural Coding (UCSD)
Timeline
Regional Account Manager
UnitedHealthGroup - Optum
07.2004 - 09.2015
Reimbursement Specialist and Appeals Processor
Anesthesia Consultants of California Medical Group
03.2003 - 05.2004
Divisional Account Support
Dj Orthopedics
10.2001 - 03.2003
Fireman
US Coast Guard
06.1997 - 12.2000
Some College (No Degree) - Accounting And Business Management
San Diego Mesa Community College
Some College (No Degree) - Medical Procedural Coding Certificate
University of California, San Diego (Extension Program)
honors and awards
Letter of Commendation from US Navy
Unit Award USCGC Midgett
Good Conduct Award USCG
honors and awards
Letter of Commendation from US Navy
Unit Award USCGC Midgett
Good Conduct Award USCG
honors and awards
Letter of Commendation from US Navy
Unit Award USCGC Midgett
Good Conduct Award USCG
honors and awards
Letter of Commendation from US Navy
Unit Award USCGC Midgett
Good Conduct Award USCG
Similar Profiles
La Rissa EspinozaLa Rissa Espinoza
Associate Clinical Scheduling Coordinator at UnitedHealthGroup-OptumAssociate Clinical Scheduling Coordinator at UnitedHealthGroup-Optum
Deborah SantomauroDeborah Santomauro
Sr. IT Performance Capacity Analyst at UnitedHealthGroup/OptumSr. IT Performance Capacity Analyst at UnitedHealthGroup/Optum
Walter SandersWalter Sanders
Senior Client Service Manager-Optum Health at UnitedHealthGroupSenior Client Service Manager-Optum Health at UnitedHealthGroup
Mindy SalgadoMindy Salgado
Resident Care Coordinator at Avista Senior LivingResident Care Coordinator at Avista Senior Living
Sharon StevensSharon Stevens
Customer Service Representative at Southwest AirlinesCustomer Service Representative at Southwest Airlines