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Customer Service Medical Billing

Location:
Sacramento, CA
Salary:
19.50
Posted:
March 26, 2016

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Resume:

Christina Vang

**** ********* *** **********, ** 95822 916-***-**** **********@*****.***

Objective: Seeking a continuous career in Medical billing, offering strong analytical knowledge and communication skills with integrity, flexibility and an eagerness to learn and grow.

Education: Carrington College California, Sacramento, CA

Medical Billing and Coding Certificate Program, Certificate

Certificate

& Awards: Medical Billing and Coding Certificate Typing Certificate

Employee of the Month

Acquired

& Skills: Home Care Net (HCN) Insurance Verification

Telephone Skills & Etiquette Typing & 10-Key

Claims Engine 2000` E-premis

Microsoft Office 2007 ICD-9

Data Entry Power Point

Microsoft Excel HCPCS/CDT-2

CMS1500 CPT Code HIPAA Compliance Medi-AR

MS4 system EDM

UB-04 Artiva

Health Logic Cerner

Detail oriented and self-sufficient, independent thinker with excellent customer service skills

PFS System applications and MS Office Applications

Medicare, Medicaid and Managed Care

Strong working knowledge of current patient accounting and claims editing applications in a hospital environment.

Work

Experience: Dignity Health Optum 360 03/16-current

Billing/collection specialist

Perform billing/collection functions relevant to the Patient Financial Services area in a manner that consistently meets or exceeds a score of 95% in key performance criteria to be measured by Quality Assurance audits

Maintain thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections

Perform hospital billing and rebilling functions as appropriate and exhibits extensive knowledge of all bill forms and filing requirements

Identify and resolve problems and make recommendations for process improvements that will benefit PFS

Coram Home Infusion Specialty Services 10/2013- 03/2016

Billing Representative

Manages and Maintains patient files for accuracy

Analyze and processed customer claims in a timely manner

Bill out of charge batches in Home Care Net (HCN). Prioritize workload base off of high dollar claims and aged claims. Run patient’s prescriptions in Claims Engine 2000 and pull up patient’s documents to verify eligibility. Follow up with payers when claims are rejecting in claims engine 2000. Claims will be solved within the same day, otherwise roll to appropriate hold code the following day.

Billing claims with accuracy expenses per contract rates such as; per diem, kitting supplies, itemize supplies.

Work with various payers to obtain correct documentations, authorization, physician orders and ship date.

Maple Elementary School 09/2012-05/2013

Team Leader

Motivate and help students to complete their assigned homework daily. Create projects and activities for students daily when assignments are completed.

Volunteer

Experience: Vang National Unity Foundation, Sacramento, CA

Secretary

Duties included: took notes during meetings distribute them at the following meeting.

Reference Available Upon Request



Contact this candidate