Savannah L Kapumau

Availability for Interview: 9 AM – 12 PM HST (Mon-Fri)

Start Availability: ASAP

Summary:

Experienced professional with 2+ years of experience coordinating complicated processes, claims, billing, Insurance, Prior Authorizations while providing superior customer service to clients including healthcare environment.

Contacted customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments. Worked on denied claims, rebilled claims, and updating patient claims.

Inbound and outbound calls was to get the patient’s insurance information as well as their medical information from providers to set up their files and their appointments.

Handled Insurance verification calls with providers.

Office skills, paperwork skills, time management, detailed-oriented, verbal, and written communication, and adept in technology.

Ability to abide by OSHA rules and regulations. Experienced in filing, scanning, and storing records per HIPAA regulations.

Took inbound calls as a scheduler for clients. Took about 10-15 calls a day and had to make outbound calls for the Dr. to the patients and help them when needed.

Ability to work with multiple insurance companies such as Medicare, Medicaid, Ohana Medical Group, and private insurance companies for prior authorizations.

Ability to retrieve, prepare, and scan patient records on Electronic Sim Chart.

Responsible for keeping patient medical records organized and updated which include medical histories, treatments, examinations, active medications, and procedures.

Active listening skills, face to face communication skills, patience, problem solving, and building customer loyalty.

Ability to answer multiple phone lines and transfer to appropriate departments.

Skills:

ICD-10, HCPCS, and CPT coding system

Billing

HIPAA/OSHA

Medicare/Medicaid

Insurance Verification

Prior Authorizations

Medical records management

Claim reimbursement

Medical Terminology & Anatomy

Microsoft Office (Word, Excel, Outlook, Teams)

Typing, 10-key

Detail oriented

Quick Learner

Inputting insurance information

Updating patient files

Filling out UA forms

Posting payments

Problem solving

Medical Office

Data entry/Paperwork

Education:

High School Diploma – Keaau High School – Kea ’au, HI – May 2016

Certification in Healthcare Administration Billing and Coding – Hawaii Medical College – Honolulu, HI – Mar 2022

Professional Experience:

Customer Service Advocate

Centene

Nov 2023 – Dec 2023

Answered inbound calls from Medicaid members regarding their inquiries.

Interacted with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.

Responsible for determining the client’s issue, offering possible solutions, or providing follow-up as needed.

Resolved services or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.

Contacted customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.

Referred unresolved customer grievances to designated departments for further investigation.

Kept records of customer interactions and transactions, recording details of inquiries, complaints, comments, and actions taken.

Medical Billing Specialist

Advanced billing solution – Honolulu, HI

Jan 2022 – Nov 2022

(Reason for Leaving: Personal Reason)

The purpose of the calls was to get the patient’s insurance information as well as their medical information from providers to set up their files and their appointments.

Worked on denied claims, rebilled claims, and updating patient claims.

Assisted in claim files to rebill claims.

Handled Insurance verification calls with providers.

Completed the required 225 hours of hands-on training at this externship site.

Participated in Weekly meetings about how everything is going and what we need to do next.

Took inbound calls as a scheduler for clients. Took about 10-15 calls a day and had to do outbound calls for the Dr.’s to the patients and help them when needed.

Spent about 4-6 hours a day while doing other work for the Dr.

Practiced fusion charts, updated patent information and uploading charts.

Print patient charts or send them as a file to insurance companies for referrals when needed.

Updated referrals, submitting new referrals.

Inputting new patients into the system.

A/R charge reviews and charts to see what needs to be checked out and what needs to be fixed.

Material Management

Heritage – Hilo, HI

Oct 2021 – Dec 2021

(Reason for Leaving: Contract Ended)

Picked up old subclavian haemodialysis catheters and ship them out to company.

Put in new bags and make sure there’s a sign that says, “no sharps”.

Put labels on boxes and put them on loading docks.

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