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AR / Billing Associate

Location:
San Jose, CA
Posted:
October 13, 2018

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Resume:

HOAN NGUYEN ac7dg4@r.postjobfree.com 408-***-****

SUMMARY: High energy with proficiency in working and reconciling the general accounting areas of healthcare billing, accounts receivable, accounts payable, journal entries, general ledger, according to GAAP standard. Efficient in resolving collection of client accounts to increase revenue for corporate finance department. Able to meet and exceed corporate’s quarterly, and year end goals, with professional demeanor.

COMPUTER SKILLS: Proficient with PC and Apple Mac systems.

SOFTWARE SKILLS:

Nextech, MAS90

Quick books-Pro, ACCPACC

Oracle 11i, SAP, MS Office Suite,

Net database, XIFIN, ARIA

IFAS II, Mac Practice

QNXT, EXPRESS, SLAR

Avatar, Tier, Speed, Accufund

EMPLOYMENT EXPERIENCE:

Aspiranet Aug. 2018 – Oct. 2018

AR / Administrative Specialist (Contract)

Process RF-26, and THP-26 contract documents with the county government branches

like San Francisco, Santa Clara, San Mateo, Fresno, Merced, San Luis Obispo, Los Angeles, etc. in placing underprivileged children, in foster parent homes temporarily

within five years.

Making payments to foster parents in different homes in various county jurisdictions

as mentioned above. Adjusting under, and over payment entries on client’s accounts in strict compliance to county rules for each Notice of Action (NOA) received from govt.

agencies. Speed, Accufund, and Excel software are used in high invoice volumes in billing, and grant units. Account reconciliation for month-end closing with reports for controller, and CFO to finally close GL, and financial statements to be forwarded to county offices.

Philips Corporation Feb. 2018 – June 2018

Accounting Clerk II (Contract)

Prepare electronic invoices to bill customers on FPS (Fee Per Study) on healthcare

informatics. Some manual invoices are by mail or email, as to customer’s preference.

Approximately three hundred invoices have to be processed weekly with using Aria and

SAP ERP platforms. Follow up by phone, or email to customers on past due invoices.

Month end account reconciliation, and financial statement close using excel.

IGeneX, Inc.

Billing Spec. / Patient Account Rep (Contract) May, 2017 – Sept. 2017

Receive test requisitions on Lyme diseases, from Medicare physicians, for the laboratory

to process these tests and create claims to bill customers.

Follow-up on unpaid claims daily by contacting insurance carriers in order to decrease

outstanding accounts receivable invoices on the aging report. SLAR ERP was used.

Prepare claims to be sent electronically or manually with submitting CMS 1500 forms.

Uplift/EMQ Family Services, Los Gatos, CA Jan. 2017 – Apr. 2017

Billing / Accounts Receivable Specialist (Contract)

Clinicians provide mental health services to adolescent children throughout CA.

Prepare invoices to bill Fresno County Government children service program.

Use of ERP platforms such as Avatar, Tier, Oracle 11i for billing projects.

Follow up with clients, insurance carriers, government agencies on past due invoices.

Santa Clara Family Health Plan, Campbell, CA Oct. 2016 – Dec. 2016

Claims Clerk (Contract)

Assist in analyzing provider dispute claims to be paid to insurance carriers.

Researching provider dispute claims using QNXT, XPRESS ERP platforms.

Generating PDR (Provider Dispute Resolution) claims report weekly using Excel.

Occasional assisting customers with error claim issues by in-person methodology.

CA Skin Institute Medical Group: Los Gatos, CA Sept. 2015 – Sept. 2016

Accounts Receivable Spec. / Patient Account Rep (Contract)

Handles billing of payer claims (primary, secondary, and tertiary) according to

contract terms to include Medicare and Medicaid guidelines.

Runs assigned daily billing reports to determine account needs.

Update files with current billing information.

Electronically billed insurance, TPA, and patients using CMS 1500, UB04 forms

Make adjustments on members accounts that drop to deductible, coinsurance

Follow up with insurance carriers, TPA, Medicare, Medi-Cal on past due invoice with meeting patients in person, email, and telephone methods.

Veracyte, Inc.: South San Francisco, CA Mar. 2012- Aug. 2015

Billing / Accounts Receivable Specialist (Contract)

Prepared invoices on HCFA 1500 claim forms to bill customers electronically

Post accounts receivable invoices into XIFIN, Oracle 10i databases daily.

Follow-up on past due claims with insurance carriers, and request for payments.

Successfully achieved 85 % of recovering reimbursements on past due accounts

Knowledge of Medicare guidelines, Medicaid programs, and Managed Care Organization

Good analytical skills and a high degree of accuracy.

Proficiency in MS Office, with emphasis on Word, Power Point, and Excel.

Atmel Corporation: San Jose, CA Jul. 2010- Feb. 2012

Business Planning Assistant (Contract)

Assist business planners to prepare finished goods to ship to clients.

Reconciled with finance unit at month end close using Oracle 11i, and SAP

The Arc of Alameda County: San Leandro, CA Nov. 2007- Jun. 2010

Accounts Receivable Assistant / Patient Account Rep

Prepare online invoices, using MAS90, to send billing statements to RCEB

Contact customers on past due invoices by telephone and email, demanding reimbursement within 45 days, which resulted in 90 % account collection

Month-end account reconciliation, accruals, and journal entries using Excel

Lash Group Healthcare Consultant: San Bruno, CA Jan. 2004 – Oct. 2007

Reimbursement Counselor

Assisted patients on the telephone enrolling into Patient Assistance Program.

Knowledge of Medicare, Medi-Cal or Medicaid eligibility rules.

Verifying patient insurance eligibility for benefit qualification

Verifying whether patients have Medicare parts A, B, C, and D for benefit receipt

San Mateo Medical Center: San Mateo, CA Jan. 2001 - Dec. 2003

Fiscal Office Assistant (IFAS II ERP)

Prepared and coded invoices, using IFAS II, in paying vendors and clients

Controller of office approved invoices for payment

Month end account reconciliations, and accruals in financial statements close.

EDUCATION:

CSU East Bay Sept. 2007 – June 2011

B.A. Business Administration / Liberal Studies



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