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Ardith Stetz

@ardithstetz

Experienced billing coordinator with a strong background in healthcare finance.

United States
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What I'm looking for

I am looking for a role that values accuracy and teamwork, with opportunities for growth.

I am a dedicated billing coordinator with extensive experience in healthcare finance, specializing in cardiovascular and interventional radiology billing. My role at Independence Health has honed my skills in ensuring compliance and accuracy in billing processes, allowing for timely reimbursement and resolution of patient billing issues. I pride myself on my ability to communicate effectively with clinical staff and patients, ensuring a seamless flow of information.

Throughout my career, I have developed a robust understanding of claims processing and appeals, having worked in various roles across the healthcare industry. From my time as an Accounts Receivable Representative at Excela Health to my earlier positions in billing and claims at Zotec Partners and Blue Cross and Blue Shield, I have consistently demonstrated my ability to manage complex billing scenarios and lead teams through audits and compliance checks. My commitment to quality assurance and problem-solving has been pivotal in achieving operational excellence.

Experience

Work history, roles, and key accomplishments

E3

Accounts Receivable Representative

Excela Health – Optum 360

Nov 2017 - Present (7 years 8 months)

Reviewed denied patient claims from various insurance carriers to determine appeal necessity. Submitted supporting medical records with appeal letters to insurance carriers, adhering to strict deadlines.

EC

Pharmacy Technician / Billing Department / Medical Records Manager

Expert Care Pharmacy (Five Star Quality Care)

Dec 2006 - Present (18 years 7 months)

Reconciled and posted reimbursement from EOBs to patient accounts and contacted responsible parties for balances. Promoted to supervisor of the Medical Record department, managing printing, reviewing, and delivering medical administration records to 72 facilities.

Education

Degrees, certifications, and relevant coursework

UG

University of Pittsburgh at Greensburg

Unknown, General Science

Undertook general science studies at the University of Pittsburgh at Greensburg.

WC

Westmoreland County Community College

Unknown, General Science

Completed general science studies at Westmoreland County Community College.

WC

Western Pennsylvania School of Health Careers

License, Pharmacy Technician

Obtained a Pharmacy Technician License from Western Pennsylvania School of Health Careers.

Tech stack

Software and tools used professionally

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Ardith Stetz - Coordinator Specialized Billing - Independence Health | Himalayas