Medical Biller Billing

Jennifer Kim

**** ********* **** ******, ** ***40 949-***-**** ********@*****.***

EXPERIENCE

Pacific Urgent Care & Family Medicine; Multiple Location Orange County, CA January 2017 – Current

Family Medicine, Private Practice

Medical Biller/Collections (Medicare, HMO, and all commercial private insurance)

Physician’s credentials, re-credentials and re-negotiation contract

Follow up with more than 30 claims a day

Initiate and manage reimbursement appeals specific to claim rejections and coding issues from all major insurance companies

Medical billing and worker comp billing

Medical insurance collection and worker comp collections

Patient collection (Deductibles, co-payment, co-insurance)

OC Joeun Medical Group Inc.; Garden Grove, CA Feb 2017-July 2017

Internal Medicine, Private Practice (Medicare, Medicaid, HMO)

Medical Biller /AR Collections

Follow up with more than 30 claims a day

Initiate and manage reimbursement appeals specific to claim rejections and coding issues from all major insurance companies

Internal Medicine

OB/GYN

Orthopedic

MEDCOR Revenue Services Inc.; City of Orange, CA

Medical Billing Services

Medical Biller March 2016 – January 2017

FQHC New York Public health plan open door medical center in New York

OB/GYN for open door NY Medicare, Medicard, HMO, and private insurance

Pacific Rheumatology Medical Center Inc.; City of Orange, CA

Internal Medicine, Private Practice

Medical Biller May 2014 – February 2016

Follow up with more than 30 claims a day

Initiate and manage reimbursement appeals specific to claim rejections and coding issues from all major insurance companies

Initiate and maintain new and current reimbursement contract with HMO medical groups

Translation for Korean-speaking patients

Bhupal Kommineni, M.D.; Upland, CA

Internal Medicine, Private Practice

Medical Biller/Bookkeeper November 2011 – May 2014

Process batches, post charges and payment with accuracy and attention to detail insurance

Initiate appeals, draft, compose and submission of letters specific to coding issues, work denials and rejection

Process monthly statements and manage payment of approximately 500 submitted claims per month

Manage payroll as well as reimbursable company expenses for 6 company employees

Manage all accounts receivable and payables as well as general bookkeeping

Manage transition from ICD9-CM to ICD10-CM

Maintain patient customer service as well as represent patients’ interest with insurance vendors

Sang Hyo Park, M.D., OB / GYN; Los Angeles, CA March 11-May 2014

Internal Medicine, Private Practice

Medical Biller

Follow up with more than 30 claims a day

Initiate and manage reimbursement appeals specific to claim rejections and coding issues from all major insurance companies

Answer phone, scheduling, and check patients in and out

Verify insurance, manage collection of co-payments

Coordinate with hospital schedule for patients’ surgery appointments

Authorization/referral of all patient appointments

Manage financial/insurance questions for clients as well as general customer service

EDUCATION

American Career College; Ontario, CA

Health Claim Examiner/Medical Biller Degree June 2010 – May 2011

EXTERNSHIP

Loma Linda University Hospital; Loma Linda, CA

Internal Medicine Department

Front Office Assistant May 2011 - July 2011

Answer phone, Scheduling, Check patients in and out, and Collect co-payment

Verify insurance, Verify forms PT, ICD-9 for accuracy, date entry

VOLUNTEER EXPERIENCE

Metropolitan State Hospital; Norwalk, CA

Patient Caregiver October 2009-July 2010

Organized special group events

SKILLS

Language: Fluent In: English, Korean

Computer: Microsoft Office Suite

CERTIFICATIONS

Insurance & Coding Specialist: NCCT Certification, Renewed Through 2020

AREAS OF EXPERTISE

CPT, ICD-9, ICD-10, HCPCS Adjustments, Verification

CMS-1500, UB-92 Payment Posting

HIPAA Guidelines Claim Examining

Patient Billing Medical/Dental Terminology

Medi-Cal/Medicare HMO, PPO

Workers’ Compensation 50 WPM/10 Keystroke

Experience medical practice software

Nextgen Athenahealth

Kareo eclinical Works

Office Ally Cal Practice

Medi-soft

Medical Groups / IPAs

HealthCare Partners Prospect

Monarch St. Joseph Jude

Applecare Caremore

Allied Pacific Chaffy

Upland ADOC / Regal

Alta Med

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