Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
1
1
Certification
26
26
years of professional experience
Work History
Reimbursement Specialist
Bronson Hospital
Kalamazoo, Michigan
04.2001 - Current
Investigated denied claims, preparing appeals to secure insurance reimbursement.
Reviewed Bronson Hospital claims for reimbursement accuracy and payer policy compliance.
Verified coverage details, benefit levels, and authorization status for patient accounts.
Tracked claim status in billing systems and payer portals to ensure timely resolution.
Communicated with patients, insurers, and Bronson billing teams to resolve account issues effectively.
Applied Medicare, Medicaid, and commercial payer rules to reimbursement cases.
Documented reimbursement actions and updated account records in hospital systems.
Advised supervisors and clinicians of billing deficiencies to support charge capture.
Education
Associate of Applied Science - Health Insurance Claims Management
Davenport University
Grand Rapids, MI
05-1999
Skills
Claim denial resolution
Claim resolution
Medical billing
Medical coding
Insurance verification
Coverage verification
Payer portal navigation
Time management
Team collaboration
Effective communication
Certification
Certified Physician Coder, 2013-Current
Timeline
Reimbursement Specialist
Bronson Hospital
04.2001 - Current
Associate of Applied Science - Health Insurance Claims Management