Nancy Bottoms
Alhambra
Summary
Detail-oriented expert with comprehensive experience in evaluating patient accounts and addressing billing discrepancies.
Overview
25
25
years of professional experience
Work History
Appeals Specialist
Conifer Health Solutions
Alhambra
02.2006 - 05.2011
- Collaborated with healthcare providers to gather necessary documentation for appeal submissions.
- Analyzed denial reasons to identify trends and improve future claim submissions.
- Maintained accurate records of appeals and follow-up actions in company systems.
- Ensured compliance with regulatory requirements in all appeal handling procedures at Conifer Health Solutions.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
- Identified trends in the types of appeals received, and reported those findings to management.
- Collaborated with provider relations staff to resolve disputes between providers and health plans concerning payment for services rendered.
EOB Reviewer correspondence rep
tenet
Alhambra
02.2001 - 05.2011
- Documented all review processes including notes, observations, analyses, recommendations.
- Analyzed EOBs to identify discrepancies and ensure accurate billing for services rendered.
- Updated databases with new and modified customer data.
- Collaborated with team members to streamline review procedures.
Collection/Disputes Specialist
City of Hope National Medical Center
Duarte
10.2011 - 08.2025
- Oversaw resolution processes for patient billing inquiries and insurance claims.
- Analyzed patient accounts to identify discrepancies and recommended effective solutions.
- Developed streamlined processes to enhance efficiency in resolving disputes promptly.
- Analyzed patient accounts to identify billing discrepancies and recommend solutions.
- Maintained accurate records of disputes and resolutions in electronic systems.
- Resolved patient billing disputes through effective communication and detailed investigation.
- Analyzed documentation to ensure compliance with regulatory standards and policies.
- Assisted team members by sharing knowledge on dispute resolution best practices and tools.
- Provided feedback on trends identified in dispute resolution processes.
- Researched payment history using various tools including online banking platforms.
- Performed administrative duties such as filing documents, creating reports, entering data into databases and updating customer profiles.
Workers Compensation collector
Wilshire orthopedic
Wilshire , California
04.2001 - 07.2006
- Established professional working relationships with staff from various levels.
- Contact claims adjusters for collection of medical debits
- Collected and entered payment data into system, maintaining complete confidentiality and accuracy.
- Typed, formatted and edited correspondence and other documents.
- responsible for reviewing and maintaining patient account folder
- proposals of promp pay settlements of outstanding liens
Education
Medical Assistant Certificate - Medical Assistance
North West College
West Covina , CA 05-1998
High School Diploma -
Alhambra HighSchool
Alhambra, CA06-1995
Skills
- Billing analysis and claims processing
- Dispute resolution
- Regulatory compliance
- Process improvement
- Customer relationship management
- Claims tracking
- Effective communication
- Problem solving
- Team collaboration
- Assertiveness
- Compliance awareness
- Workflow optimization
- Multitasking and organization
- Written communication
- Record keeping
- Time management
Timeline
Collection/Disputes Specialist
City of Hope National Medical Center
10.2011 - 08.2025
Appeals Specialist
Conifer Health Solutions
02.2006 - 05.2011
Workers Compensation collector
Wilshire orthopedic
04.2001 - 07.2006
EOB Reviewer correspondence rep
tenet
02.2001 - 05.2011
Medical Assistant Certificate - Medical Assistance
North West College
High School Diploma -
Alhambra HighSchool