HONG HUYNH

Cell: 818-***-****

Email: ad3fnl@r.postjobfree.com

OBJECTIVE

To secure a position in a company where my experience, education and training can be utilized to its fullest potential.

EXPERIENCE

Appeals and Grievance Coordinator

11/7/2022- Current Wollborg Michelson Woodland Hills, Ca

Gather, analyze, and report verbal and written member and provider complaints, grievances and appeals

Prepare response letters for member and provider complaints, grievances and appeals

Maintain files on individual appeals and grievances

May coordinate the Grievance and Appeals Committee

Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information

Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research.

Manage large volumes of documents including copying, faxing, and scanning incoming mail

Lock Desk, Secondary

8/31/2020- 7/25/2022 Network Capital Irvine, Ca

Job Responsibilities

Locking loans in high volume.

Monitor’s pricing desk inbox and returns and completes request in a timely manner.

Processing rate locks, lock extensions, product changes, and pricing quotes

Accurately audits all loan parameters on locked loans.

Provides high quality customer service and communication to all internal and external customers

Builds and maintains strong relationships with outside investors

Opportunity to be cross trained on secondary trading and hedging

Must be willing to take on more responsibilities with continued experience

Enrollment Processor, Medicare

11/28/2018 – 8/20/2020 BlueShield of CA Monterey Park, CA

Job Responsibilities

Processes member applications by reviewing data for deficiencies and resolving discrepancies by using departmental policies and procedures.

Enter member data by inputting alphabetic and numeric information into EAM/Facets system according to the enrollment application

Verify eligibility for enrollment using state and Federal websites.

Prepare member correspondence by creating, triggering, printing, reviewing and mailing.

Reconcile discrepancies, between member data and various systems.

Research eligibility rejected transactions by identifying discrepancies and report findings to the appropriate business area.

Assist co-workers with training, updating processes, and other duties as assigned.

Rate Lock Analyst

6/16/2014-8/02/2018 PennyMac Pasadena, CA

Job Responsibilities

Administer margin change requests on a daily, weekly and monthly basis

Support reporting routines to accurately track impact of margin changes to revenue

Create and maintain suite of reporting to communicate book level revenue performance to senior management

Complete analysis of volume and margin trending by various attributes and identify impact to pricing strategy

Interact with sales team to obtain the rate lock

Support competitive intelligence research and reporting

Create and maintain pricing, product and guideline comparisons

Support tasks related to development and implementation of new products or attributes impacting pricing

Assist with maintenance and updates to client facing website

Complete special projects to support revenue growth as requested by management

Senior Billing Coordinator

4/27/2009-5/30/2014 Quest Diagnostics West hills, Ca

Job Responsibilities

Edit procedure to ensure proper information for billing.

Follow-up on patient/insurance claims for patient, insurance, Medicare, Medi-Cal & Medicaid carriers.

Customer service - handles more complex phone calls received. Helps with outgoing calls to patients, insurance carriers and clients when difficult situations arise.

Research and process denials.

Cash application of monies received.

Coordination of EOBs from insurance carriers.

Billing of co-pays, deductibles, calculating payments, some secondary insurances, and PR-49 letters.

Help with data retrieval and questions during audits.

Help with problem solving with system issues. Work with IT department to maintain standard procedures for billing.

Assist in training of Coordinator I employees.

Handling returned checks from patients, dealing with collection agency directly. Fwd all info and

6/06- 8/07 MedAesthetica Medical Group Sherman Oaks, CA

Client Services Rep

Answering phone calls and provided customer service regarding payments, inquiries regarding services and procedures

Introducing clients with new products and selling products. performing and explaining on how each product works.

Tracking all Client’s Treatments and billing

Interact with clients, including, but not limited to, activities such as providing account information and responding to client questions and requests.

6/04 – 5/06 Blue Cross of CA Woodland Hills, CA

Pharmacy Clerk/Customer Care Associate

Responds to Medical Group, Provider, and Hospitals questions regarding insurance benefits, guidelines, and contracts.

Inputting member’s data information into a database.

Matching member’s letter.

Making corrections for invalid member’s ID.

Implemented training course for new recruits/employees.

Create written correspondence to Medical Group, Provider, and Hospitals regarding insurance benefits, guidelines and contracts.

Analyzes and Solves problems as needed.

EDUCATION

2007 LA Valley College Van Nuys, Ca

Achieving to major in accounting

SKILLS

Proficient with Windows 2000, Windows XP, Microsoft Office (Word, Excel, Outlook),

Optima Blue, Encompass, Flowscape.

Detailed-oriented, quick learner, motivated, and well-organized.

Contact this candidate