Summary
Overview
Work History
Education
Skills
Timeline
Generic

Reanna Solares

Phoenix,AZ

Summary

Detail-oriented healthcare billing professional with over 7 years of experience in managing medical and pharmacy claims in various stages of the revenue billing cycle. Seeking to utilize my skills with an established company that has growth opportunities.

Overview

7
7
years of professional experience

Work History

Billing Analyst

StateServ
05.2023 - 11.2023
  • Conducted DME and Specialty billing review and data quality analysis to ensure accurate billing with the provider and client
  • Entered all paper claims for processing and generated monthly paper claims margin reports
  • Submit specialty items margin reports for PACE and Medicaid clients using EDI software portal.

Billing Specialist

Coram CVS Infusion Services
07.2021 - 11.2022
  • Submitted infusion, enteral and nursing per diem claims for Medicaid, Medicare, TriCare and Commercial Plans
  • Resolved claim rejections and corrections, verified eligibility, and follow-up with payers for account receivables.
  • Maintained 98% quality analysis average, met productivity standards of 60 claims a day.

Reimbursement Specialist

Preferred Homecare
07.2016 - 07.2021
  • Managed enteral and infusion pharmacy claims.
  • Assist pharmacy department with all billing questions and discrepancies.
  • Resolved rejected and denied claims, submitted corrections if needed.
  • Submitted prior authorizations and appeals if necessary.
  • Call health plans for prior authorization status and claim overrides.

Education

GED -

Phoenix College
Phoenix, AZ
2008

Vocational Training - Business Technology

Job Corps
Phoenix, AZ
2008

Skills

  • MS Office Suite
  • Analytical Person
  • Auditing and Analysis
  • Time Management
  • Organization Skills
  • Multi-Tasking
  • Microsoft Outlook
  • EOB Knowledgeable
  • HCPS, CPT, ICD-10
  • CMS 1500 Billing Forms
  • Detailed Oriented
  • Medical Terminology
  • Medicaid and Medicare Knowledge
  • Issue Resolution
  • Claims Processing and Submissions
  • Month-End Closing Procedures
  • Billing and Collections

Timeline

Billing Analyst

StateServ
05.2023 - 11.2023

Billing Specialist

Coram CVS Infusion Services
07.2021 - 11.2022

Reimbursement Specialist

Preferred Homecare
07.2016 - 07.2021

GED -

Phoenix College

Vocational Training - Business Technology

Job Corps

Similar Profiles

CREATE PROFILE
Reanna Solares