Heather Astorga

Experience

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  Valley Home Medical Equipment

  Jan 1999 - Aug 2002

  Biller

  Working with Medi-Cal and Medicare/claims coding.Provide excellent customer service.Conduct appeals for internal/external. Record for external audits is at 100% and internal is at98%.Handle claims correction, patient concerns, 10key, and 45+words/minute typing. Answer incoming calls average from60 to 80 a day also made out bound calls to insurance company’s checking claim status and sending claims to review based on calls from customer inquiring on the bills and insurance payment or non-payments. Assisted customers with Medicare Advantage plans regarding question and billing issues. Did Medi-cal Tar's and private insurance pre-auths Show less

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  Apria Healthcare

  Jun 2003 - Dec 2009

  Lead Accounts Recivable Rep

  Manage a small group of employee’s work flow overseeing all internal and external audits for Apria’s billing center/call center.• Working with Medi-Cal and Medicare/claims coding.• Provide excellent customer service.• Write reviews and performance appraisals.• Conduct appeals for internal/external. Record for external audits is at 100% and internal is at98%.• Handle claims correction, patient concerns, 10key, and 45+words/minute typing. Answer incoming calls average from 100 to 120 a day also made out bound calls to insurance company’s checking claim status and sending claims to review based on calls from customer inquiring on the bills and insurance payment or non-payments. Assisted customers with Medicare Advantage plans regarding question and billing issues. Show less

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  Aerotek

  Aug 2011 - May 2012

  Sales Support Representative

  Answering incoming phone called from brokers and assisting on various issues regarding enrolling member to website assists and checking status of application and claims also emailing documents that brokers need to sell a policy.Commission issues for both central region and west. Assisting with kidney patient research and completing intake to get account reinstated and money reapplied to account and claims reprocessed

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  Anthem, Inc.

  Jan 2014 - Aug 2021

  Processing claims. Review insurance information, Medicaid claims primary and secondary. Processing pre-auth benefits such as surgery and inpatient admissions,

  • Provider dispute Representative

    Jul 2021 - Aug 2021

  • Claims Representative Health/Dental rep 3

    Jun 2014 - Jul 2021

  • U/m rep

    Jan 2014 - Jun 2014
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  Elevance Health

  Aug 2021 - now

  • Business Analyst 2

    Jan 2024 - now

  • Operations Expert

    Aug 2021 - Jan 2024