CYNTHIA A. BUMA

Vancouver, WA ***** 360-***-****

ad164j@r.postjobfree.com LinkedIn URL

CUSTOMER SERVICE REPRESENTATIVE

Professional Billing and Collections Specialist with extensive claims appeals filing, medical coding, and reimbursement submission experience. Resourceful and reliable working all phases of billing claims to insurance and collecting money due. Leverages negotiation and strategic thinking to exceed targeted goals.

KEY AREAS OF EXPERTISE

• Claims Submissions • Denial Management • Communication Skills

• Explanation of Benefits (EOB) • ICD-10 Coding • Reimbursements EXPERIENCE

Geneva Woods Pharmacy – Vancouver, WA 04/2020 – 09/2020 Claims Resolution Specialist/Remote

Responsible for working claims from start to finish to fully support the patients’ needs. Work with pharmacist to obtain proper codes to obtain a paid claim to insure timely delivery to patient. Phoenix Medical Solution, – New York, NY 02/2020 – 04/2020 Switchboard Operator/Remote

Answered phones for various clinics, transferred or warm transferred calls to those clinics. Answered phone for surgical center taking messages to send thru our messaging system. OnPoint Medical Solutions, Vancouver, WA 08/2019 – 09/2019 Collections

Responsible for working claims from start to finish to fully support the patients’ needs. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims, denied claims and underpaid claims. Provided information over the phone for all patients billing questions directed to the central business office. Reviewed all credit balances for possible refunds. Performed all duties in a manner which promoted team concept and reflected the clinic’s mission and philosophy.

• Answered calls and responded to patient inquiries and/or problems regarding bills in an accurate, prompt, and courteous manner.

• Identified delinquent accounts and contact patients to negotiate a payment plan, resulting in .

• Thoroughly and timely worked accounts in work queues as defined by policies and procedures.

• Respond to any correspondence attached to patient statements.

• Process bankruptcy and probate accounts.

• Post all insurance denials in a timely and accurate manner.

• May process the insurance claims correspondence and mail returns. Cynthia Buma ad164j@r.postjobfree.com Page Two

Synergy Chiropractic, Vancouver, WA 11/2017 – 07/2019 Collections (Continued)

• Thoroughly and timely work accounts in work queues as defined by policies and procedures.

• Respond to any correspondence attached to patient statements.

• Receive patient requests for information and adjustments. Initiates resolution as identified in department policies and procedures.

• Post all insurance payments in a timely and accurate manner.

• Post all insurance denials in a timely and accurate manner.

• May process the insurance claims correspondence and mail returns. Pain Relief Partners, Vancouver, WA 11/2017 – 06/2019 Biller and Collections

Responsible for working claims from start to finish to fully support the patients’ needs. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims, denied claims and underpaid claims. Provide information over the phone for all patients billing questions directed to the central business office. Review all credit balances for possible refunds. Perform all duties in a manner which promotes team concept and reflects the clinic’s mission and philosophy.

• Answer calls and responds to patient inquiries and/or problems regarding bills in an accurate, prompt, and courteous manner.

• Identify delinquent accounts and contact patients to negotiate a payment plan.

• Respond to collection agency correspondences and agency assignment paperwork.

• May review returned mail to skip trace.

• Thoroughly and timely work accounts in work queues as defined by policies and procedures.

• Respond to any correspondence attached to patient statements.

• Process bankruptcy and probate accounts.

• Evaluate patient eligibility for financial assistance adjustment.

• Receive patient requests for information and adjustments. Initiates resolution as identified in department policies and procedures.

• Post all insurance payments in a timely and accurate manner.

• Post all insurance denials in a timely and accurate manner.

• Able to process the insurance claims correspondence and mail returns. EDUCATION

Associated of Arts, Business

Clark College, Vancouver, WA

Degree Name, Business Management w/emphasis in HR Pending Started 2004 City University, Vancouver, WA

Finish all classes in HR and started on classes for Business administration. CERTIFICATIONS

Certificate Medical Administrative Assistant; Billing and Collections Western Business College, Vancouver, WA

Cynthia Buma ad164j@r.postjobfree.com Page Three

COMPETENCIES

• Medical coding experience

• Computer skills

• Experience in CPT and ICD-10 coding

• Familiarity with medical terminology

• Ability to communicate with various insurance payers

• Experience in filing claim appeals with insurance companies to ensure maximum reimbursement

• Responsible use of confidential information

• Strong written and verbal skills

• Ability to multi-task

• Ensure all claims are submitted daily with a goal of zero errors

• Timely follow up on insurance claim status

• Reading and interpreting an EOB (Explanation of Benefits)

• Respond to inquiries by insurance companies

• Denial Management

• Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles

• Worked with the following insurances - Medicare, DMAP, UHC, HN, MODA, BCBS, MVA, Workers Comp.

• Experienced in the field of Medical Administration for over 7 years.

• Extensive experience in the Healthcare sector ranging from clinical care to administrative responsibility. Home Health care to Hospice care.

• Skills in the direction and development of each individual and team personnel. Excellent communication and interpersonal skills

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