Kacey Horstin

Well-rounded professional backed by healthcare, administrative, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.

Reimbursement specialist at Continuum Rx (2024-09 – 2025-03)

• Collect copayments and outstanding balances from patients
• Review EOBS and Verify insurance eligibility to determine cost of services
• Communicate with patients regarding their questions for home infusions
• Answered all calls and made outgoing calls in a timely manner

Claims Examiner at Sutherland Healthcare Solutions (2023-06 – 2024-08)

• Adjudicating claims to meet production, quality, and other metrics
• Follow policy/procedures and regulatory guidelines
• Process claims for approval or denial in a timely manner
• Review proper forms and insurance information to correctly adjudicate claims

Stay-at-Home Parent at Self-employed (2019-03 – 2023-12)

• Set standards for behavior and lead by example
• Make decisions, provide support, ensure household duties are completed, and discipline appropriately
• Resolve problems and conflicts, manage finances, and coordinate medical care and activities

Front Office Medical Assistant at WMC Physician Practices (2018-09 – 2019-02)

Dr. Ana Busquets | Dermatologist

• Served as initial point of contact, handled inbound and outbound phone calls, and provided customer service
• Worked with Insurance companies to get prior authorizations and collected payments and co-pays
• Handled final sale transactions of dermatology products and maintained confidentiality of personnel information

Front Office Medical Assistant at WMC Physician Practices (2018-06 – 2018-12)

Dr. Roger Isla | Otolaryngologist

• Checked patients in and out and provided exceptional customer service
• Managed inbound and outbound calls phone calls, scheduled appointments, and collected payments
• Entered and update patient demographic information into electronic medical records
• Ensured strict adherence to security and confidentiality guidelines as outlined in HIPAA

Retail Deli Clerk at Walmart (2017-07 – 2018-06)

• Greeted customers, answered questions, and assisted with selection and purchase of deli items
• Prepared food items and maintained knowledge of deli products to better serve customers
• Maintained high standards for freshness and sanitation
• Sold products by providing customers with information needed to make product-related decisions

Deli Clerk/Sandwich artist at Ruff Creek Markets and Subway (2016-07 – 2017-06)

Associate of Science Degree in Medical Billing and Coding – Ultimate Medical Academy (2023)

Associate of Applied Science in Medical Assisting – Eastern Gateway Community College (2018)