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Medical Billing Customer Service

Lakewood, CA
November 14, 2018

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Sreyny Lisa Ros

*** ***** ****** *** ****** CA **869, 562-***-****


To obtain a challenging position in a motivated work environment where I will have the opportunity for advancement, gain knowledge, experience, and technical skills that will provide me with the ability to contribute and accomplish company-wide goals.


-CPT/ICD-9 and 10 Coding

-Data Entry,

-Ten key by touch.

-HIPAA Guidelines,

-Medical Billing,

-Proficient Microsoft Office Software

-Bilingual in Khmer (Cambodian).

Employment History:

10/24/2016 to Present: Molina Healthcare – Associate Analyst, Provider Configuration

-Responsible for accurate and timely implementation and maintenance of critical information on claims databases

-Analyze and interpret data to determine appropriate configuration changes.

-Research and resolve claim/encounter issues, pended claims and update systems as necessary.

-Accurately interpret specific stat and/or federal benefits, contracts and business requirements to convert these terms into configuration parameters.

-Handle coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface. Work with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of user community.

09/19/2011 to 10/19/2016: Clarient Diagnostic Services/ GE Answer incoming calls in regard to accounts and respond promptly, review correspondence, Submits appeals for all denials claims and follow up claims after the appeals process, prepare adjustment as necessary, check patient eligibility and coverage with insurance, help assist on resolving patient account, setup patient payment plan, send out hardship form, run credit card payment, Process, review, and mail secondary claims along with remit EOB, respond to incoming email at a timely manager. Also I work in Error Processing Department: Communicated and educated sales rep, labs and doctor offices to correctly bill any future claims. Missing patient document, contact client or sale reps for information needed to bill 06/10/2008 to 09/16/2016 Westcliff/Labwest Medical Laboratories Job duties in the Medical Billing Department of a Clinical Lab include working insurance denials, filing insurance appeals, rebilling insurance with corrected information, verifying patients insurance, customer service & working aging reports. This also includes interaction with Doctor’s offices and insurance companies. I specialized with Medicare billing for the Lab.

Secondary billing, request EOB from website, mail claims, adjust payments, collect payments from patients, xiffin, reprint, docware, clearing house messages, median, remittance advice remark codes, front end rejections, answer calls, edit and refill claims. EP calling doctor for NPI number, Medicare denials and entering DX codes. Education: Poly High School, Long Beach, Diploma

Marci College Major: Medical Coding/Billing 2006 - 2007 New Bridge College Medical office Management 2007 - 2008 REFERENCES: Available Upon Request

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