Customer Service Insurance

Hanh Kieu Buita

***** ******** ****

Brighton, CO 80602

720-***-****

*********@*****.***

OBJECTIVE

. Actively use my knowledge, skills, abilities, and experiences to

efficiently

. maximize the productivity in a firm.

Work Experience / Technical Skills.

. 7 years of managerial

. 18 years of administrative and customer service experience in medical

billing

. Extensive knowledge on ICD-9 Coding and CPT Coding

. Well trained on Medicare/Medicare HMO billing, insurance/patient

charges and payments

. Thorough knowledge for Medicare physical office and nursing home

requirements

. In depth knowledge for CMS/Medicare coverage/payment rules/ guidelines

and medical criteria

. Experience in payroll, AP, AR, and Reconciliation

. Familiar with all Insurance requirements

. Trained in manage payroll for more than 150 employees

. Extensive computer skills, Typing 55 WPM

. High degree of Professional Correspondence and Business Communications

Non-Technical Skills.

. GOOD FACILITATION AND CHANGE MANAGEMENT EXPERIENCE

. Enthusiastic, self-directed, goal-oriented and multi-tasked individual

. Teach and Train skills

. High degree of initiative

. Team player with excellent communication and interpersonal skills

. Ability to meet timelines set by management

. Commitment to high levels of customer service and insurance billing

Work Experience Job Title and Description of Responsibilities.

2002 TO PRESENT OFFICE MANAGER/LEADER/ASSISTANT SUPERVISOR/BILLING

SPECIALIST / HEALTHCARE

ACCOUNT SPECIALIST

SCHRYVER MEDICAL SALES &

MARKETING DENVER, CO

. Manage a team of 22 employees

. Staff recruitment activities and the development of retention plans

. Manage all work load to all employees on daily basic

. Ensure staffs activities are conducted according to the office

operational plan and are in accordance with the tasks timelines and

company objectives. Anticipate, identify, and communicate issues that

could affect timelines and work to develop alternative solutions

. Maintain knowledge of Medicare requirements for Nursing home

. Responsible for all Employee payroll

. Manage Medicare/Medicare HMO billing

. Responsible for all account management for Nursing home

. Supervise for all patient registrations

. Manage patient statements and payments

. Resolve critical and complex patient and insurance discrepancies.

Insure corrective action is implemented as appropriate

. Responsible for Data entry accuracy of patient demographics, payments,

and charges

. Handle all accounts receivable and follow up

. Handle and run all A/R reports for insurance balance as well as

patient balance

. Conduct reconciliation for all Insurance, Medicare, Medicaid charges

and payments

. Responsible for AP, AR and QA

. Responsible for all collections and patient co pays

. Function as a resource for all patient questions and concerns

. Responsible for resolving all patient issues regarding to patient

balances, explanation of EOB's and re-billing

. Maintain a lead role in A/R follow-up and collections

. Support as secondary billing when department was understaffed

. Collaborate with Collection Department for coordination of benefits,

and balances transferred to the patient

. Responsible for oversight and education/training of staff

. Conduct and/or assist with team meetings

. Evaluate results relative to audit, approve and post refunds up to

$500.00

. Responsible for conducting Accounts Receivable Representative

Comparison and analysis of accepted and rejected claims

. Responsible for total management of insurance auditing and follow up

of outstanding claims.

. Liaison with Inner-office communications on insurance correspondence

for insurance appeals, processing and correspondence

. Partnership with other Managers in logging and tracking team

production, productivity and corrective action if required

EDUCATION.

June, 1991 Associated degree in Accounting: completed in June 1991

Waubonsee community college : Aurora, IL.

AWARD.

2002 thru 2008 Leadership Award, voted by employees

1991 thru 2001 Excellence Customer Service Award

2001 & 2002 Goal Achievement Award

____________________________________________________________________________

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REFERENCE AVAILABLE UPON REQUEST

JEFF MCBRIDE Vice president of SM2 720--987-6335

Dave Leslie Provider/contract manager 303-***-****

Dzung Hoang IT System of CMS 303-***-****

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