Lance Yamane
Mililani Town
Summary
Results-driven professional with extensive experience in claims processing and benefits recovery at FirstSource and HMSA. Demonstrated expertise in analysis and pricing of claims, ensuring accuracy and precision in transactions reconciliation. Proven ability to recover overpayments, enhancing financial efficiency and provider relations. Strong analytical skills complemented by effective communication.
Overview
18
18
years of professional experience
Work History
Claims Processor
FirstSource (IEHP Client)
01.2025 - 03.2026
Analysis and pricing of claims for participating and non-participating providers.
Benefits Recovery Examiner I
FirstSource (HMSA Client)
01.2022 - 12.2024
Recovery of overpayments made by HMSA to providers and members through the creation of recovery letters. Processing of deductions from provider accounts and application of refund checks.
Benefits Recovery Examiner I
HMSA, Hawaii Medical Service Association
06.2008 - 12.2021
Recovery of overpayments made by HMSA to providers and members through the creation of recovery letters. Processing of deductions from provider accounts and application of refund checks received from providers and members.
Education
Bachelor of Science - Physics
University of Hawaii At Manoa
Honolulu, HI05-1998
Skills
- Analysis and pricing of claims for processing
- Accuracy and precision
- Transactions reconciliation
Timeline
Claims Processor
FirstSource (IEHP Client)
01.2025 - 03.2026
Benefits Recovery Examiner I
FirstSource (HMSA Client)
01.2022 - 12.2024
Benefits Recovery Examiner I
HMSA, Hawaii Medical Service Association
06.2008 - 12.2021
Bachelor of Science - Physics
University of Hawaii At Manoa