Medical Billing Data Entry
Resume:
JAVETTE M. HUNTER
***** *. ***** **** ** Unit B
Rancho Cordova, CA 95670
**********@*****.***
OBJECTIVE:
To acquire a full-time position that will allow me to utilize my extensive experience in the area of Medical Billing, Collections, and Follow up, while gaining valuable experience, advancing personal growth, and establishing a permanent career.
SKILLS:
Typing 45+ wpm/Data Entry 10,000 kpm
Microsoft Word
Operation of various office machines
10-line phone/PA system
10-key & reverse 10-key by touch
Medical terminology
PERSONAL QUALIFICATOINS:
Energetic, industrious and willing to learn
Reliable and hardworking, able to work well with others a total “team player”
Work well under pressure and enjoy providing service in a fast paced environment
Honest, trustworthy, productive
EMPLOYMENT HISTORY:
2017- Present UnitedHealth Group/Optum360 Associate Business Analyst
Analyze claims data to identify trends/claims issues and provide reports to Management as necessary. Breakdown complex problems into individual root causes. Ensure that reimbursement procedures adhere to insurance regulations and payers’ contractual obligations. Review claim payment accuracy, timeliness, and collection processes by ensuring issues are avoided or if identified, resolved timely and appropriately.
Create and maintain relationships with internal departments/payers to work to resolve reimbursement issues and make recommendations for improving processes.
2016-2017 UnitedHealth Group/Optum360 Technical Denials Specialist Representative
Position is for determining the reason for payment delinquency, negotiate and advise on collection of denied claims, and talking appropriate action to recover denied payment. Handling of unresolved Inquires/issues, and is responsible for assisting in Training and developing staff, implementing, maintaining also managing organization policies for denial Management; Also assisting Leadership in reporting, answering questions and representing the team during Payer meetings.
2011-2017 Dignity Health/Optum360 SR. Patient Account Assistant PFS (Lead)
Responsibilities are for billing and Follow up of claim for Acute Hospital Services. Duties include: complex billing; providing customer service to Insurance companies, patients, and facilities; review and collection of delinquent accounts; correspondence with insurance companies and patients; capitation write-offs; maintenance of files, records, logs and manuals, reporting of work activities; and performing related duties assigned.
2009- 2011 Heritage Oaks/Sierra Vista Hospital: Commercial HMO/PPO Follow Up/Collection Rep
Followed up and collected on all unpaid commercial insurance claims, worked aging reports, contacted
Insurance companies regarding denials, submitted appeals, called for status on claims, phone contact,
Online insurance support, handling incoming from patients & insurance companies regarding statements,
Billing issues, requested medical records as needed to submit to insurance companies with appropriate
documents.
2008-2009 Med Temps Staffing/UC Davis Medical Center: Principal Access Rep
Responsible for financially screening non-funded patients for charity care and/or potential funding programs such as, Medi-Cal/ Medicare, County Medically Indigent Services and other government programs. Completing referrals to the appropriate program, complete funding applications. Familiar with processing victim of violent crime, evidentiary exam, and workers compensation forms. Proficient in using Invision. Electronic Medical Records, also online AB75 submission. Experienced with HIPPA guidelines, Patient Privacy Act, and maintaining confidentiality.
2005-2008 Heritage Oaks Hospital: Receptionist/Admissions Coordinator
Responsible for greeting and assisting all visitors, answering switchboard, preparing and coding daily receivables, maintain the facility census book, documenting incoming deliveries, processing incoming and outgoing mail and providing clerical support as requested. Prepare weekday deposits; prepare monthly statements for mailing, and assists with various clerical duties and projects as assigned, completing appropriate paperwork for new admissions.
2004-2005Roger B. Stephens Md. Ph.D. Pain Management: Receptionist/Medical Records
Answer mild to heavy phones. Obtain authorizations from insurance. Scheduling patient appointments and follow-up visits. Assist doctors with patients. Filing and faxing. Pulling and preparing carts for daily scheduled visits.
2001-2004Unilab/Quest Diagnostics: Data Entry/Billing/Clinical Laboratory Processor
Enter patient’s information, billing insurance, billing codes, and third party (HMO, PPO, Medi-cal and Medicare) insurance information into computer system. Verify design numbers and names. Match specimen requisition requests for the assigned test codes. Search for lost specimens and maintain standard production speed, accuracy, performing basic mini/maxi log functions including split requisitions. Prepare all specimens for required departments or locations for testing.
EDUCATION: High School Diploma
Contact this candidate