Medical Insurance
Resume:
Lianghua Hu
PO Box ****** Houston, TX *****
*********@*****.***
Objective:
To obtain position in Medical clinic or hospital where my 11 years experience in billing and collections can
be utilized to improve the profitability of the medical operations.
Professional Experience
July 2010 – Present. NME Medical Management Inc. Houston, TX
Senior Payment and Collections Specialist
Process all billing of accounts receivables including insurance filing, patient statements and
insurance collection follow up.
Process monthly billing statements for all clients and ensure payment for services rendered.
Work with most all medical insurance companies along with Amerigroup and Medicaid.
Specialized billing programs for all types of medical practices: Physicians, Pulmonary/Cardiology
Specialist & Pediatricians.
All transactions from practices are billed within 48 hours: electronic along with paper transactions.
Payment monitoring and follow up on all operations is constant.
Feb. 2002 – July 2010. New Millennium Enterprises, Inc. Houston, TX
Billing & Insurance Specialist
Expedite and maximize payment of Medicare, Medicaid and Commercial claims to resolve
outstanding A/R in a timely manner of 40+ accounts daily.
Review aged A/R to locate and resolve accounts by contacting insurance.
Answer patient calls regarding balances and explanation of benefits.
Provide patients with itemized billing statements on a monthly cycle.
Review claims to verify payment made according to fee schedule and contractual adjustments are
taken appropriately.
File Medicare, Medicaid and Commercial claims via electronic, online or paper claim
submissions.
File appeals as required to resolve previously underpaid and/or denied claims.
Perform charge entry and insurance verification as needed.
Document clear, concise and complete notes in system for each account worked.
Over 11 years Medicaid claims experience from insurance verification to follow up.
Education:
1995-1999 Graduate Study, Medical Technology, Texas Southern University, Houston, TX
1992-1994 Subject Study, Medical Laboratory Science, University of Massachusetts, N. Dartmouth, MA
1986-1991 Bachelor of Science Degree in Medical Exam. Shanghai Jiao Tong University, P. R. China
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