Britney Bastian

At Molina Healthcare, I research and resolve high-volume provider appeals, claim disputes, grievances, reconsiderations, and payment issues while meeting CMS, state, contractual, and organizational turnaround requirements.

I investigate paid claims using medical records, provider documentation, billing information, contracts, fee schedules, benefits, guidelines, and system configurations. I identify potential overpayments and underpayments, document clear determinations, and maintain accuracy above compliance and audit standards.

My earlier work at Bingham Memorial Hospital, Portneuf Medical Center, and Therapeutic Associates strengthened my foundation in health information management, data integrity, medical-record review, HIPAA compliance, and healthcare administration.