Ardith Stetz

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.

Assisted customers with vehicle purchases, guiding them through paperwork and explaining car features. Researched, printed, and distributed checks to customers and vendors.

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.

Reviewed and submitted insurance claims for processing and researched denied claims for possible appeal. Submitted supporting documentation when appealing claims.

Reviewed and submitted insurance claims for processing and researched denied claims for possible appeal. Submitted supporting documentation when appealing claims.

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.

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.

Processed claims and assisted with various administrative tasks within the claims department. Supported the team in ensuring accurate and timely claim resolution.

Assisted with initial claims processing and data entry. Supported the claims department with administrative duties.

Assisted pharmacists with dispensing medications and managing inventory. Maintained patient records and ensured compliance with pharmacy regulations.

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

Completed general science studies at Westmoreland County Community College.

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