Medical Billing Manager
Resume:
Dianqiu Bai
**** **** **** ****** *****: 610-***-****
E-Mail: abnj2f@r.postjobfree.com
Audubon, PA 19403
OBJECTIVE
Seeking an auditing/accounting position in which I could utilize my six-year auditing/accounting
experience and problem solving skills.
SUMMARY
CPA candidate with six-year experience in Accounting, Financial & Compliance Auditing.
Solid working knowledge of SOX internal control and testing.
STRENGTHS AND SKILLS
• Strong analyzing and problem solving skills
• Fast learner with minimal supervision
• Fast worker and multitasker known as “low maintenance employee”
• Familiarity with medical billing charging and coding
• Knowledge of bankruptcy law and regulation
• Proficiency with Microsoft applications such as Words, Excel, and PowerPoint
• Knowledge of SAP, Hyperion, DCS Chapter 13 System and Medical Manager
• Ability to communicate in both English and Chinese
WORK EXPERIENCE
12/08 – 1/09 Auditor
Deloitte and Touche LLP
• Conducted fixed assets audit. Works included
Obtained and reviewed certain policies and procedures for the audited fixed asset
management process.
Made an assessment of the adequacy of the policies and procedures
Reviewing proper authorization for purchases and reporting procedures
Testing documents for segregation of duties
Testing whether the fixed assets were recorded and reported properly on timely basis
Testing disposal and retirements to determine whether the company has adequate and
effective disposal policies and procedures
Compare the records in FAR with the system records to verify proper recording and
documenting.
04/05 – present Teacher/Chinese Exchange Teacher/Consultant
Pottsgrove School District, Pottstown, PA
• Set up the first Chinese teaching program and curriculum in Pottsgrove school district.
• Taught Chinese in both high school and middle school.
• Organized the Chinese club activities for all grades.
• Established the Chinese culture exchange program between two public schools in the
United States and China.
• Served as consultant to both schools on culture affairs and program activities.
• Organized international student exchange trips between China and U.S.
2/02 – 1/05 Internal Auditor/Staff Accountant
Fresenius Medical Care, Plymouth Meeting, PA
Auditing role
• Conducted all compliance, financial and operational audits to 12 billing groups. Areas
Included
o Collected and analysed data, conducted preliminary survey to coordinate with
managers to planning audit activities.
o Coordinated audit activities with other departments to ensure resources needed
o Safeguarded all files/records that have been entrusted to the Auditor’s possession
o Performed audit on timely basis. Areas and procedures include,
Pre-planning the audit in accordance with the scope and complexity of the
areas under review. Such as budget time and schedules.
Sampling programs to extract data for audit
Testing of transaction and balances, such as Ancillaries testing, Laboratory
Hematocrit testing, price testing and cash management testing etc, to ensure
that all accounts reviewed were recorded properly.
Compliance audit of general controls and function, such as patient admission
audit, contractual adjustments and write off audit, suspense accounts audit
and overpayment reporting testing to ensure billing group operated and
complained with corporation policies and procedure
Using analytical procedure to identifying inconsistencies or significant
fluctuations. Especially on analysing and identifying medical billing,
charging and coding issues to find resolving solutions.
Performing system interface audit to ensure daily computer interface were
correctly reviewed and signed.
Observed billing group operation on random basis
Recalculating entries performed by the accounting systems
o Reported findings on working paper and filed them properly
o Presented findings and recommendations to audit manager
o Followed up on audit findings to ensure adequacy and timeliness of correction
• Collaborated with external auditors in facilitating SOX audit and regulation audits.
• Conducted SOX testing to evaluate the adequacy and effectiveness of internal controls.
• Performed special audit projects as assigned
Accounting Role:
• Reviewed and approved all reimbursements to various insurance carriers including Medicare
and Medicaid
• Investigated discrepancies in company’s suspense account and assisted billing group to
resolve unidentified payments issues.
• Reconciled intercompany transfer account and suspense account.
• Posted adjustment entries to ensure balance of IC account and suspense account.
• Prepared quarterly credit balance report to Medicaid and yearly cost report to Medicare.
• Followed up on Medicare settlements for proper coding and payment. Made adjustments for
settlements and reimbursements.
• Communicated with insurance carriers for collection issues
9/97 – 5/99 Internal Auditor / Account Analyst
Standing Office of Chapter 13 Trustee. Salt Lake City, UT
Auditing Role
• Conducted auditing to ensure compliance with bankruptcy law, policies and regulations.
• Prepared case closing reports for Trustees to ensue all the procedures are conducted as
required by law.
• Responsible for resolving all financial issues related to debtors’ accounts.
Account Analyst Role
• Performed Debtor’s financial analyses for petition and confirmation hearings.
• Analysed and researched all outstanding claim issues and proposed proper solutions.
• Communicated to Debtor and Creditor for collection issues
• Reconciled account payment with court order and made adjustments as necessary.
• Posted journal entries to adjust accounts balance
7/89 - 9/92 Editor and Talk Show Hostess
Harbin Municipal Bureaus of Radio & Television. Harbin, China
• Editor and Show Hostess of a live program in Harbin Economic Broadcasting Station
• Editor and reporter in Department of News in Harbin Broadcasting Station
EDUCATION
B.S in Accounting, December, 1997
University of Utah. Salt Lake City, UT
B.S. in Law in Chinese Communication, July, 1989
Heilongjiang University. Harbin, China
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