Ardith Stetz
@ardithstetz
Experienced billing coordinator with a strong background in healthcare finance.
What I'm looking for
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
Coordinator Specialized Billing
Independence Health
Nov 2021 - Present (3 years 8 months)
Responsible for cardiovascular, interventional radiology, ECHO, and nuclear billing compliance within the hospital system. Submits new and updated charging information to the CDM and ensures accurate, timely, and consistent flow of billing information.
Accounting Clerk/Sales
#1 Cochran
Aug 2020 - Present (4 years 11 months)
Assisted customers with vehicle purchases, guiding them through paperwork and explaining car features. Researched, printed, and distributed checks to customers and vendors.
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.
Billing Specialist
Management Services Network
Jun 2015 - Present (10 years 1 month)
Reviewed and submitted insurance claims for processing and researched denied claims for possible appeal. Submitted supporting documentation when appealing claims.
Account Specialist
Zotec Partners
Jan 2014 - Present (11 years 6 months)
Reviewed and submitted insurance claims for processing and researched denied claims for possible appeal. Submitted supporting documentation when appealing claims.
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.
Project Coordinator
Blue Cross and Blue Shield
May 1996 - Present (29 years 2 months)
Supervised internal and external audit teams, responsible for researching and attaching supporting documentation for government audits. Processed monthly, quarterly, and yearly data reports for upper management and reviewed processed claims for duplication, initiating recoupment when necessary.
Claims Associate III
Blue Cross and Blue Shield
Sep 1994 - Present (30 years 10 months)
Processed claims and assisted with various administrative tasks within the claims department. Supported the team in ensuring accurate and timely claim resolution.
Claims Associate II
Blue Cross and Blue Shield
Mar 1994 - Present (31 years 4 months)
Assisted with initial claims processing and data entry. Supported the claims department with administrative duties.
Pharmacy Technician
Conway Medical Center
Aug 1990 - Present (34 years 11 months)
Assisted pharmacists with dispensing medications and managing inventory. Maintained patient records and ensured compliance with pharmacy regulations.
Education
Degrees, certifications, and relevant coursework
University of Pittsburgh at Greensburg
Unknown, General Science
Undertook general science studies at the University of Pittsburgh at Greensburg.
Westmoreland County Community College
Unknown, General Science
Completed general science studies at Westmoreland County Community College.
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
Availability
Location
Authorized to work in
Job categories
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