Rebecca Ryan

**** ****** *** #**, ********** **825 Ph:916-***-**** email: acrnxd@r.postjobfree.com

My 16 yrs of experience in Contract Administration, AR Management, Medical Billing, Claims Data Analysis and extensive Customer Service and Business Management training will be an asset to you. I am proficient in software such as MS Word, Outlook, Excel and Access, Cirius, Cerner, PageMaker, Medical Manager, Meditech, MS4, Document Imaging, Versys and Advanced MD and learn new software quickly.

B.A. Exercise Physiology, CSUC 1996, M.B.A. University of Phoenix 2005

Experience Summaries:

Sutter Health. 100 Howe Ave, Sacramento

Supervisor: Queyanda Watts 916-***-****

Government Account Rep 11/12 – current

Auditing Medicare new claims report for overlapping services to correct, research and correct claim level errors, reviewing documents in the DI Database for information to correct account errors, maintaining tracking spreadsheets for ongoing or new issues to present at monthly meetings. Reviewing MS4 claims editor for errors to release claims, and Cirius database for unbilled claims. Researching Medicare Coding and Billing Guidelines Manual for federal regulations relating to claims issues, to help determine policy and procedure standard as well as reviewing Sutter Policy and Procedure documents for compliance. I began as a Kelly temp and was hired direct in 11/13.

Dignity Health. 3400 Data Dr., Rancho Cordova

Supervisor: Lynda Smith 800-***-**** x13689

Medical Billing Follow up 5/11 – 6/12

Claims data Analysis, AR Reports analysis and claims follow up; research medical files, regulations and correspondence to compose effective Appeals. Management of AR balances, leading to lower AR totals and improved billing cycle times. I was responsible for Medicare risk plans, VA and Tricare claims follow up. I research rejections and denials, writing appeals and calling insurance companies to implement payment of outstanding claims.

Regional Cardiology Associates. 1010 Hurley Way, Sacramento 95825

Supervisor: Jodie Maita 916-***-****

Medical Biller 3/10 – 4/11

As the Medicare Reimbursement Specialist, I was responsible for researching and resolving claim denials, drafting Appeals, reconsiderations, and re-determinations with deadline compliant follow up. I post adjustments to accounts as necessary to reflect take backs, billing errors, payment recovery and physician based write offs. I also handle private pay patient accounts and collections for 10 providers. I am working to increase reimbursement through coding accuracy, clean claim submission and successful appeals. Answer questions from patients and staff about Medicare plans and reimbursement.

North Valley Dermatology. 251 Cohasset Rd, Ste 240, Chico 95926

Supervisor: Emily Purvis 530-***-****

Medical Biller 10/09 – 1/10

Posting insurance payments in batches, balancing batches and performing month end closings, auditing patient accounts for accuracy, implementing collections on past due accounts. Drafting appeals for denied claims, follow up and resolution of all billing and claims payment errors. I was able to clean up substantial backlog, increase collections and bring accounts current during this temporary assignment.

Accucode Medical Billing Service. 50 Declaration Dr. Chico 95973

Supervisor: Ruth Ann Grimes 530-***-****

Medical Biller 8/06 – 4/09

Managed Medical Billing and AR for up to 5 Medical clinics, including Anesthesiology and Pain management, Internal medicine, Cardiology and General Practitioner practices. Coding and billing Medical claims, AR posting and billing for all insurances. Responsible for private pay accounts, customer service and collections. I also helped to reduce outstanding AR balances while increasing insurance revenues, through accurate coding and diligent follow-up. I was awarded several bonuses for productivity and quality by exceeding the industry benchmark of 15% or less over 120 days.

Gibson Chiropractic Clinic. 120 Amber Grove Ste 120, Chico 95973

Supervisor: Dr. Gibson 530-***-****

Office Manager 10/04-5/06

Reception, scheduling, daily balance sheets and month end closing, collections, Insurance coding and billing. Increased revenues by 15% by monitoring coding/reimbursement. Revised AR management to decrease outstanding balance by 30%. Managed Work Comp. and Personal Injury cases, preparing documents for claims and court hearings. I was responsible for Medicare billing and appeals as well as private Insurance and private pay accounts and collections.

United Healthcare Insurance. 2080 E 20th Street, Chico 95928

Supervisor: Wendy Maxfield 530-***-****

Contract Administrator 2/98 – 9/02

I was transferred to Chico from Denver as part of the initial office set up team. As a Contract Administrator I negotiated health plan coverage, administered benefits contracts and provided solutions to claim processing system problems for 40 employers. I helped roll out new benefit contract production software and workflow processes. I did legal research for compliance, produced legal plan documents and benefit plan books. For two years I was responsible for monthly Contract Department meetings, developing the agenda and handout materials, and facilitating the meeting. I also developed and was Department Lead for the inter-departmental review committee that met monthly to discuss problems solving approaches using the combined resources of all Departments.

I began my employment with United HealthCare in Denver, CO where I learned Health Insurance products, medical claims processing and customer service. I then processed medical claims, managed medical spending accounts, processed check returns, performed claim audits and answered customer service phones explaining benefits and payments to members. Promoted to Contract Administrator in April 1999.

Memberships: AAMA, Toastmasters, Western Trailriders, Chico Jujitsu Kodenkan

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