Onnie S Balanon

**** ** ***** ** *** *** Shoreline, WA 98155 Phone 206-***-****

Email: admvfd@r.postjobfree.com

SKILLS

Assisted patients over the phone. Knowledge of the Five W’s of Collections.

Communicate with Medical Centers' staff, patients and payers, as required to obtained or verify billing information or payment.

Answer questions, resolve concerns and document specific actions taken on individual accounts in the Epic Hospital Billing and or Professional Billing systems. Analyze credit balances in order to determine appropriate action.

Demonstrated knowledge of medical terminology, billing and collection practices and workflows

Knowledge of Epic Hospital Billing and or Professional Billing and registration systems. Outstanding oral and written communication skills

Familiarity with Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9), tenth Edition codes

Data entry skills and intermediate knowledge of Excel, Word and Outlook preferred

Ability to maintain current knowledge of specific payer billing requirements

EXPERIENCE

Patient Account Representative 2 - UW Medicine, Seattle, WA May 5, 2015 – February 14, 2020

Edit and or prepare UB, CMS 1500, ADA and other utilized billing forms according to regulatory or payer requirements, to ensure accurate and compliant billing of facility and professional fees. Analyze and take action of unresolved accounts, including payer denials. Analyze financial information provided by patients to determine their ability to make payments or qualify for financial assistance in accordance with the Medical Centers' Financial Assistance Policy. Analyze credit balance accounts to determine and take appropriate action. Prepare Accounts Receivable adjustments. Utilize available resources to obtain eligibility information. Process secondary billing, attach Medical Records. Capabilities to do the work timely and accurately

Billing Coordinator - Providence Health & Services, Renton, WA Nov 18, 2013 – Oct 15, 2014

Responsible for revenue cycle management coordinating, assisting in all patient accounts and statement processing through revenues, deposit and cash posting, refunds, online credit card payment, private pay and collections follow up functions of Providence Senior and Community Services. Verifies and update patient’s demographic and insurance information. Navigate high level of skill in entering data and researching on-line while talking with patients. Collecting money from private pays (co-insurance, copay) and maintains accounts accurately and keeps them up to date. Experience interacting and communicating with diverse population using sensitivity tact and discretion

Commercial Billing Specialist - Providence Health & Services Renton, WA, Jan 3, 2000 – Nov 15, 2013

Responsible for preparation of UB, HCFA, for accurate and timely electronic and paper-based claims, submissions for all commercial insurance plans. Ability to prepare Accounts Receivable transactions, access computer databases to obtain eligibility information, update patient’s demographic and insurance information. Insure efficient and accurate billing process inclusive of claim editing and submission. Accountability in completing status of patient account, for exercising judgment to determine appropriate procedure has been use for resolution of the entire patient account. Reviews and resolves billing edits in claims errors and verifies the accuracy claims submitted to payers. Communicate with patients and/secondary payer or third-party payer as required to obtain or verify billing information or payment, and answer questions, OP and IP Overlap, resolve concerns; document specific action taken on individual accounts.

Regulatory Biller - Swedish Medical Center Seattle, WA, Jun 1, 1997 – Dec 31, 1999

Submit Outpatient & Inpatient Overlap claims to Medicare, Medicaid, L&I and Commercial insurance. Resolve claims pended on denied by paper. Review credit and debit balance report and take appropriate action. Review, correct and submit paper claims, complete secondary billing. Planning and organizing denied claims. Comply with all applicable Federal, State, and local laws, regulations and requirements. Establish priorities for assign task. Complete the Star system failed edit claims work file report billing. Follow up and collection until a claim is paid.

Correspondence Specialist - Swedish Medical Center Seattle, WA, Jul 6, 1996 – May 30, 1997

Responsible for opening and mail distribution, routing of documents via workflow. Processing tasks according to work unit procedures including UB, referral and authorization letters. Accurately entering patients account information, retrieving from computer database system. Compose routine correspondence and compile routine reports

Payment Poster - Swedish Medical Center Seattle, WA, Jun 19, 1995 – Jun 30, 1996

Accurately applies all payments and adjustments to individual patient accounts based on documented Explanation of Benefits (EOB). Balance posting thoroughly researching and reporting all variances. Process Electronic Remittance as directed resolving all edits. Process credit card payments received in the mail. Cash Preparation and Payment Processor. Handling deadlines and performed other duties assigned.

EDUCATION

Bachelor of Science in Agricultural Economics, Aklan State University Philippines graduated March 1982

Application and Microsoft Office Software, Certified Patient Account Technician

REFERENCES: Available upon request