Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Bill Review Analyst
Valenz
Phoenix, AZ
05.2023 - Current
Deliver analytic support to identify high-priority opportunities.
Maintain client confidence and protect operations by keeping information confidential.
Identify billing and savings by performing audits.
Review claims, identify discrepancies and determine appropriate course of action.
Ensure compliance with federal and state regulations governing insurance industry operations.
Claims Analyst
Valenz
Phoenix, AZ
10.2018 - 04.2023
Review claims, identified discrepancies and determined appropriate course of action.
Analyze claim data to identify trends and recommend process improvements.
Maintain accurate records of all claim activities in accordance with company policies.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Lead Billing Specialist
Symbius Medical
Phoenix, AZ
07.2007 - 10.2018
Compiled, reviewed, and analyzed billing reports to identify discrepancies.
Gathered proper documentation and data to prepare claims for submission.- claims billing
Participated in meetings with internal departments or external clients as necessary to discuss disputed claims or other related matters.
Analyzed information gathered by investigations and reported findings and recommendations.
Trained staff members on proper use of billing software applications.
Maintained accurate records of all incoming payments from customers.
Identified areas for improvement within current system processes related to billing operations.
Education
Some College (No Degree) - Psychology And Addiction Counseling
California State University Dominguez Hills
Carson, CA
Skills
Issue Identification
Documentation And Reporting
Audit Support
Information Gathering
Analytical Thinking
Risk Analysis
Timeline
Bill Review Analyst
Valenz
05.2023 - Current
Claims Analyst
Valenz
10.2018 - 04.2023
Lead Billing Specialist
Symbius Medical
07.2007 - 10.2018
Some College (No Degree) - Psychology And Addiction Counseling
Director of Engineering at Courtyard & Residence Inn Marina Del Rey Brizo Bar & RestaurantDirector of Engineering at Courtyard & Residence Inn Marina Del Rey Brizo Bar & Restaurant