Personal Caregiver
Resume:
Rowena D. Yauder
San Leandro, CA *****
*********@*****.***
Analytical and meticulous medical billing specialist with 10 years of experience in insurance verification, claims processing, and bookkeeping. Proficient in accounting, administrative, and performing data entry.
Work Experience
Caregiver
Kyros In-Home Care & Registry Inc. – Hayward, CA
July 2023 to Present
@Private Client Home (San Leandro)- as live in caregiver for 5 days. Assist with daily activities: meals, medications, exercise, bathing, housekeeping, laundry, doctors' appointment, bring to grooming, picked up & ordered medications and more.
@Connie's ICF/DDH (San Ramon) - assist daily meals, bathing, dressing, toilet, and rotation in bed.
@Private Client Home (Hayward)- assist with meal, sponge bath, dressing, exercise, and medication.
@St Denis Home (San Ramon) - Intermediate Care Facility for Individual with Intellectual Disability. Assist 4 adult children & 1 elder with daily meals, bathing with 3 women, dressing, toilet, bedtime.
Medical Billing/Denial Specialist
Lighthouse MG - Fremont, CA
Client: Mission Peak Orthopaedics Medical Group
September 2022 to June 2023
Working on denial to all contracted medical insurances (PPO/HMO), workers compensations, Medicare Part B, and Guarantor/Self.
Closely review and verify dispute reasons from EOB/EOR/RA by calling insurance if necessary to get detailed information on each dispute items and scanning for potential errors, reducing discrepancies.
Appeal/reprocess denied or underpaid claims by communicating with doctors and other medical team members for specific information to ensure claim get processed, with supporting documents needed to prove the charges are correct and get paid.
Post insurance and guarantor payment, daily credit card transaction, including refund, balance daily payment transaction. Print guarantor receipts and mail.
Create, modify, delete, or add, charges or procedures for correcting claim (per management approval & make note on account).
Send tasks to doctors or other medical teams for detailed information needed to reprocess denied claim.
Report to management if there's an error with the charges, amount, duplicate, CPT code, modifier, ICD-9/10.
Help work needed to be done like medical reimbursements, authorization, and referrals.
Part time work as caregiver
Aug. 2022 to Sept. 2022
Alondra Home Care – Oakland, CA
Assist with elder, meal preparation, medication, light housekeeping and companion.
Golden Living Guest Home – Fremont. CA
Working with hospice patients, sponge bath, changing clothes, changing bedding, prepare meal, transfer patient to recliner, feeding, light housekeeping and transfer back to bed with manual lifter.
Oakmont – Alameda, CA
Assist residents who have Alzheimer's or age-related Dementia, Hospice and or Handicap with assistance of other caregivers. Light laundry, assist to dining area, activity area, bathe/dressing & other daily living activities.
HR Project Coordinator & PFS Billing/Denial Specialist
Siri Info Solutions Inc – Oakland & San Leandro, CA
Client: Alameda Health System
February 2022 – May 2022
Working with HR medical and dental denied dependent claim.
Hospital billing and insurance follow-up denied claims.
Working with Medicare, Medi-Cal and Managed Care, contracting payment terms and rates structures.
Personal Care Assistant/Live-in Caregiver
Private Client – Campbell, CA
June 2020 to January 2022
Assist and provide direct personal care and support 78 yrs old women with multi surgeries & disabilities (COPD/RA/Inflammation/Fluid Retention/HBP/High Cholesterol/Breast Cancer/Thyroid/Chemo-Infusion), with 24/7 use of oxygen and nebulizer.
Help dress, bathe, & other small little things that client needs.
Ensuring client receives medications on time, including nebulizer & checking oxygen level.
Prepare & serve meals.
Light cooking, housekeeping, laundry & some household maintenance (if I know).
Drive & bring client to all her appointments including doctors & chemo/infusion.
Check inventory supplies. Like: diaper/depends, wipes, oxygen & nebulizer hose and attachment, groceries, pet food & all household supplies.
Order & pick up medications if they are not available for delivery.
Do errands for clients, groceries, bank, mail or packages, Feed dog, birds & squirrels.
Live-in Caregiver
Lafayette Gardens Assisted Living – Lafayette, CA
January 2020 to June 2020
Assist residents who have Alzheimer's or age-related Dementia and or Hospice with assistance of another caregiver.
Prepare home cooked meals from scratch, handle all laundry, housekeeping, medications & other daily living activities.
Bookkeeper
Robert Half Staffing – Oakland, CA
Client: Orthopaedic Surgeon
September 2019 to January 2020
A/P, A/R, & Payroll: processed invoices twice a month.
Received payment & post payments, process refund/reimbursement, deposits, check runs, journal entry, payroll biweekly through ADP.
Processed 1099 & filing
Accounts Receivable Clerk
Robert Half Staffing – Oakland, CA
Client: OPEIU Union Local 29
May 2019 to September 2019
Posting of all dues daily: individual, DCO (Cash, check & credit card) & mail receipts.
Process Per Capita Report.
Process withdrawal cards, reimbursement/refund (monthly/quarterly) maintain membership data.
Collection call, Delinquent/Suspended dues letters
Answers phone calls/return calls.
New member application, mailing new member packets.
Collect date for LOA/Disability.
Prepare all cash & checks for deposit.
Consolidated reports, Filing, Faxing, photocopy check, scanning & other duties as assigned.
Frontline
Airport Home Appliances – Hayward, CA
October 2018 to February 2019
Update daily orders into dispatch track, run daily invoices, enter log into.
Excel report, close daily invoices, & post into shipping, check available stock.
Check orders & confirmed status of each order into order maintenance, check or change serial # of each available product.
Call or email salesman or store managers if there's an error or stock is not available for each order.
Account Receivable Specialist/Medical Biller
Mindlance Staffing – So San Francisco, CA
Client: LabCorp of America/Monogram Biosciences
December 2017 to March 2018
October 2016 to February 2017
Prepared and submitte claims to third party payers, clients and patients.
Verified insurance coverage or eligibility.
Maintained confidential files and records.
Processed Error Work Queue and reviewed Held Accounts.
Performed Data Entry.
Answered telephones
Education
Associate Degree in Medical Billing and Coding
Carrington College – San Leandro, CA
Bachelor of Science in Commerce in Accounting
Christ the King College – Philippines
Skills
More than 10 years’ experience in accounting and or administrative positions (A/P, A/R, & Payroll.
More than 5 years as caregiver.
More than 5 years in Medical Billing/Denial Specialist. Proficient in HMO/PPO/Managed Care/3rd party/patient (self/guarantor). Coding: ICD – 9/10, CPT & HCPC.
Remarkable ability to manage multi-task, organize & prioritize work to meet rigidly imposed deadlines.
Demonstrated the ability to work independently and in a team, and flexibility in adapting to a wide variety of tasks/functions.
Excellent customer and member services. Strong verbal and written communication.
Typing 40 wpm, 10key and alphanumeric.
Medical insurance claims begin and end processing.
Core Competencies
Medical Billing, Medical Terminology, Data Entry, Claims Processing, Insurance Verification, Claims Dispute, Bookkeeping, Accounts Payable and Receivable, Problem-solving, Analytical Skills.
Technical Skills
Easy Learner any program/software and multi-window screen.
Microsoft Office Suite: Word/Excel, Edge, Access (Account Receivable), VLOOKUP, & Outlook
Software & Program used: EPIC, ONSTAFF-intellect 2022 (Oracle) Clinic No. 1 to EPIC 2023, Patient Chart Manager (898), TriZetto Provider Solution, Transaction Express, MedStart (Radiology Report), MIXIE telephone/message line, Telcor OIS Revenue Cycle Management, Kea/3G Saleslogix, Image View for Window XP, Lan-Fax Generi Utilities, ScanSnap, Triple G.r2w-WRQ Reflection for UNIX (Medical Billing), QuickBooks Pro (Bookkeeping), SAP (Accounts Payable), Kronos (Payroll), Oracle (Accounts Payable)
ELSEVIER eLearning Certificate of Completion 2022: Acute Care Accreditation or Occupational Safety & Health, User Agreement, Infant Security, NEO, Gender Identify & Gender Expression Non-Discrimination Policy, GIFT & No Pass Zone. 2021 Code of Conduct, 2021 HIPAA Compliance.
EPIC eLearning: Hospital Billing Insurance Follow-up-Denials, HB Revenue Cycle Basics-A, Information Blocking Training.
OVERVIEWS OF: Hyperspace for Revenue & Access Products, Registration in a Hospital Setting, Resolute Hospital Billing Revenue Cycle, Account Work Queues, Account Activities, Account Errors and Flags, Account follow-up Records, Hospital Account for Billers & Insurance Follow-up Staff & overview of Single Billing Office.
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