file C **archive/Donna%**Hofberg%**Resume%**crcr%*0added.TXT[8/28/2023 7:53:22 AM]

Donna Hofberg

**** * ****** ***

Tulsa, OK 74136

Phone: 918-***-****

Cell: 918-***-****

E-Mail: ad1l6n@r.postjobfree.com

Professional Summary: Certified Revenue Cycle Representative Notary. Medical Billing Specialist with experience in a fast-paced, multiple client medical billing company. Specializing in WORK COMP, AUTO and PERSONAL INJURY. Denied claims follow up and appeals. Familiar with billing and collections.

Skills

Lien filing and upkeep

Familiar with commercial and private insurance carriers Behavioral health billing and collections

Understands insurance benefits

Composed and professional demeanor

Resourceful and reliable worker

Excellent problem solver

Close attention to detail

Adept multi-tasker

Office support (phones, faxing, filing)

Excellent verbal communication

Currently working REMOTE since 03/2020

file C 20archive/Donna%20Hofberg%20Resume%20crcr%20added.TXT[8/28/2023 7:53:22 AM] Work History

March 2017 to Current

Bristow Endeavor Healthcare

Specialty Billing

Workers Compensation claims representative. Process all as in house paper claims, mail claims with all documentation required, follow up.

Manage and set up the Indian Health Care System to process all claims requiring a referral or purchase order for payment.

Handle all Specialty billing claims such as TPL Auto or Personal Injury claims Liason for attorney settlement and litigation of tpl claims Scan all attorney ROI requests to patient chart and fax/mail/email requested information back to them in timely manner May 2014 to November 2016

TMC/Practice Management Services Tulsa, OK

Account Resolution Specialist

Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.

Precisely completed appropriate claims paperwork, documentation and system entry. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Adeptly managed a multi-line phone system and pleasantly greeted all patients. Verified patients' eligibility and claims status with insurance agencies. Entered orders into the EMR system efficiently and without errors. Diligently filed and followed up on third party claims. Researched questions and concerns from providers and provided detailed responses. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Maintained strict patient and physician confidentiality. Resourcefully used various coding books, procedure manuals and on-line encoders. Managed collections claims for unpaid bills against the estates of debtors. Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and file C 20archive/Donna%20Hofberg%20Resume%20crcr%20added.TXT[8/28/2023 7:53:22 AM] regulations.

Accurately posted and sent out all medical claims. Submitted electronic/paper claims documentation for timely filing. Precisely evaluated and verified benefits and eligibility. Responded to correspondence from insurance companies. Posted and adjusted payments from insurance companies. Identified and resolved patient billing and payment issues. Confidently and adeptly handled claim denials and/or appeals. Evaluated patients' financial status and established appropriate payment plans. Reviewed and resolved claim issues captured in TES/CLAIMS edits and the clearing house. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

Updated patient financial information to guarantee accuracy. Compiled and tracked outstanding balances owed to medical facilities. Printed and reviewed monthly patient aging report and solicited overdue payments. March 2011 to April 2014

Parkside Psychiatric Facility Tulsa, OK

Business Office Representative

Filed all Medicare facility claims. Maintained and follow up. Filed all Indian Healthcare facility claims and helped acquire in patient referral/authorization. Audited all Medicaid professional claims denials and eligibility. Heavy phone work. Patient payments.

Worked and maintained monthly aging report.

February 2008 to January 2011

Ardent Tulsa, OK

Pharmacy Technician/Medical Records Asscociate

file C 20archive/Donna%20Hofberg%20Resume%20crcr%20added.TXT[8/28/2023 7:53:22 AM] Began as licensed pharmacy technician at Bailey Medical Center. Responsible for keeping all pyxis machines in operating suites, ER, post op (pacu) and all other areas of hospital stocked with properly added added medications of all classifications. Inventory and ordering of medications.

Crash cart maintenance for expired medications

Transferred to Hillcrest Medical Center medical records where I scanned completed charts in to live on line access system. Collected patient charts from various areas of hospital. Prepared charts for scanning.

Audited charts for discrepancies and physician signatures. Faxed Release of Information to other hospitals on request following confidentiality guidelines. August 2004 to January 2008

Freeland Brown Pharmacy Tulsa, OK

Pharmacy Tech/Cashier

Heavy phone work with patient calls for refills.

Faxing doctors offices with requests.

Working drive through as cashier.

Filling prescriptions with pharmacy approval.

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