Ernestine Vanessa Holley

626-***-****

OBJECTIVE: Seeking a responsible position relative to Medical Billing and Claim Analyst, Management

SUMMARY OF SKILLS:

Over 15 years Medi-cal billing experience. Computer literate, Word perfect, Excel, Experience and knowledgeable in ICD-9 coding many different Diagnosis codes. Worked with on lots of different software systems. ADD-ON, ContinuLink software, Meditech, Care Centrix, Electronic billing, Epic, Epremis, Cub and etc. Complete many different bill Agreements, CPT coding, Ten-Key,Typing 65 WPM, expert in TAR’s SAR’s, Referrals, HMO Authorizations. Work well under pressure, fast, quick learner able to meet deadlines.

EDUCATION 1993 - 1998

Graduated John Muir High, Pasadena CA Diploma

North West College, Pasadena CA

Certificate, Medical Assistant/Billing

EMPLOYMENT EXPERIENCE

November 2014 to Current

Navigant Healthcare, Gardena, CA

Patient Account Representative

Duties: Lots of Follow-up and collection, Hospital billing. Audit Old accounts, Productivity over 50 account daily, Medi-cal Manage care, HMO, PPO, Private Collections.Submit PDR, Appeals, CIF's daily, Customer Service post & accept payments, Heavy phones, Data Entry, Software used Profit, Cubs, Epremis, MedAsset and EPIC.

July 2014 to November 2014

Holley Healthcare Billing,

Medi-cal Billing Specialist

Duties: Hospital, Home Health and Skilled Nursing Billing. Medi-cal, Manage care, HMO, PPO, Private Collection, Appeals, Cif’s, TAR, SAR, Auditing old accounts on A/R Aging, Electronic Billing, Manual Billing, UB92, HCFA 1500, 25-1 Long Term Care Claim Form. Follow-up & Collections, Post Payments, Monitor daily cash flow. October 2011 to July 2014

Premier Healthcare Services, Pasadena, CA

Medi-cal Billing Manager

Duties: Manage over 7 employees, Audit outstanding Account Receivables, Home health billing over 12 branches, Complete and Submit Medi-cal Agreements, aggressive follow-up with Licensing & Certification, CMS, to assure timely certification, Electronic Billing/Set up on all Medi-cal, HMO’s and PPO payers. Submit Cif ‘s, Appeals, and resolution forms daily to assure accurate payments. Report account receivables daily. August 2000 to October 2011

SNF/CPE Management, West Hollywood, CA

Medi-cal Biller Specialist/Consultant.

Duties: Manage 38 facilities Account Receivables, complete and submit all Medi-cal contracts and agreements to Medi-cal, Audit A/R, Follow-ups, collection, train BOM and assistant BOM, travel to different facilities, Tar’s, run eligibility, expert with different county codes. PPO, HMO, DMH, Private collection.

July 1999 to August 2000

Piper Medi-cal Center, Altadena, CA

Medi-cal Assistant/Biller.

Duties: Verifying eligibility and insurance benefits, Billing Medi-cal, HMO, PPO and private collections, audit old accounts, receptionist, filing, Assist Physician with multiple duties. REFERENCES Available upon request.

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