Medical Billing Patient Care

Anthony Pham

Thornton, CO *****

************@*******.***

(408) 931- 3791

Results-driven Medical Billing and Coding professional with comprehensive training and hands-on experience in healthcare administration. Known for meticulous attention to detail, effective problem- solving skills, and a strong commitment to accuracy and compliance. Proficient in utilizing industry- specific software and systems to optimize billing processes and ensure timely reimbursement. Skilled in navigating complex insurance regulations and payer requirements. Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Authorizations Assistant

NMCI Medical Clinic-San Jose, CA

January 2024 to March 2024

(Temporary Position)

• Managed authorization requests with insurance carriers, ensuring timely approvals for medical procedures and treatments.

• Processed and generated Requests for Authorization

(RFAs) on a per-patient basis, adhering to established protocols and guidelines.

• Collaborated closely with healthcare providers and administrative staff to facilitate the authorization process and streamline patient care delivery.

Medical Billing & Coding

Cancer Care Institute-San Jose, CA

December 2023 to January 2024

• Conducted meticulous new patient registration, ensuring accurate demographic and insurance information capture.

• Utilized MOSAIQ EMR system proficiently for patient data management and retrieval.

• Facilitated pre-authorizations, retro authorizations, and insurance verifications, ensuring compliance with payer requirements.

• Obtained and managed authorization codes for inpatient procedures, optimizing reimbursement processes.

• Processed and reconciled insurance Explanation of Benefits (EOB) for prompt and accurate billing.

Medical Biller Extern

Women’s Care for Life-San Jose, CA

June 2023 to July 2023

• Demonstrated precision in posting payments, reconciling accounts, and maintaining financial records.

• Leveraged advanced Microsoft Word and Excel skills to streamline administrative tasks and reporting functions.

• Proactively liaised with insurance companies to resolve claim denials and discrepancies, ensuring timely reimbursement.

• Organized and digitized Explanation of Benefits (EOB) for efficient record-keeping and reference.

• Communicated effectively with patients, providing clarity on insurance matters via written correspondence and phone calls.

Crew Member

Cinnabon-San Jose, CA

February 2023 to June 2023

• Delivered exceptional customer service, engaging with patrons to ensure satisfaction and loyalty.

• Operated point-of-sale (POS) system with accuracy and efficiency, processing transactions swiftly.

• Prepared and served high-quality food and beverages, adhering to company standards for taste and presentation.

• Maintained a pristine and inviting environment through regular cleaning and sanitation protocols.

• Managed inventory levels and replenished stock promptly to meet customer demand. Team Member

Noah’s New York Bagels-San Jose, CA

April 2022 to January 2023

• Executed precise preparation and assembly of bagels, ensuring consistency in taste and texture.

• Provided personalized service to customers, addressing inquiries and accommodating special requests courteously.

• Monitored inventory levels and conducted regular audits to prevent shortages and overages.

• Upheld cleanliness and hygiene standards in accordance with health regulations. Education

Certificate in Medical Billing & Coding

Carrington College

November 2022 to June 2023

High School Diploma

Lynbrook High School

Skills

• Familiar with CPT coding and billing procedures

• Proficient in medical terminology, basic anatomy, and psychology terminology

• Proficient in CPR

• Expertise in ICD-10

• Proficient in Microsoft Office Suite

• Knowledgeable of HIPAA regulations and standard laws

• Skilled in completing insurance forms

• Typing speed: 50WPM

• Experience in posting Insurance Explanation of Benefits

• Medicare

• Computer skills

• Organizational skills

• Medical collection

• Health information management

• HIPAA

• Microsoft Word

• Medical receptionist

• Time management

• Communication skills

• Anatomy knowledge

• Patient care

• Medical scheduling

• Research

• Writing skills

• Clinical laboratory experience

• R

• Data analysis skills

Certifications and Licenses

CPR Certification

Medical Coding Certification

Food Handler Certification

Certified Professional Coder

Certified Coding Specialist

RHIT

AHIMA

RHIA

Medical Billing Certification

Certified Coding Associate

BLS Certification

CNA

CPA

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