Medical Billing Case When
Resume:
Nan Hoffman
**** ****** *** #*** *******, WA ****6
Epic and Cerner experienced Medical biller with a major degree in Health Information Management program.
Familiar with commercial and private insurance carriers as Revenue cycle representative who manages cash flow when insurance companies are denied in Registration for Providence Health Services NW.
100% QA accuracy in each claim in the month of July.
I have worked on computerized healthcare systems with the assurance of HIPPA guidelines applying Privacy and Security for our clients.
Work Experience
Revenue Cycle Representative
Providence Health & Services (Medirevv) - Olympia, WA January 2022 to July 2022 (Contract)
Investigating denials of the coverage on the date of service.
Update registration and create insurance claims and bills for clients.
Switchboard Operator
St. Peter’s - Olympia, WA April 2021 to January 2022
Operating communication system
Answering hospital’s mainlines, taking messages, transferring calls, and ensuring that emergency procedures.
Customer Service Associate
Continuum Global Services - Lacey, WA January 2020 to January 2021
Customer care for Verizon Wireless Subscribers
Handling inbound calls with multi task skills and strong research.
Address and resolve questions and concerns regarding their account charges, data plans, and upgrading devices based on the built-in OST.
Medical Biller
ARS - Phoenix, AZ July 2017 to June 2018
Submitting Claims to insurance companies and payers for clients
Processing billing with UB04 and HCFA, and medical record packaging for the clients, together with medical record QA procedure for cpt code
Ensuring clean claims through billing guidelines and upkeeping shared Google docs
Medicare Sales Representative
Healthplan One - Phoenix, AZ September 2016 to January 2017
Assisting customers to enroll in Blue Cross Blue Shield of Michigan Medicare program during open enrollment
Plan overview such as premium and co pay together with level of prescription coverage
Coverage options such as HMO and PPO with doctors, providers, and hospitals based on geographical information
Healthplan Specialist
Convergys - Phoenix, AZ September 2015 to January 2016
Providing healthplan options and proceeding enrollments based on clients’ information
Licensed agent during open enrollment season for Medical Mutual of Ohio insurance.
Receiving Incoming calls and providing Quotes through accessing customer’s budget and their geographic information
Volunteer
St. Joseph’s Hospital and Medical Center January 2013 to December 2015
Patient Escort volunteer work while attending school
Assist patients to discharge from the hospital
Onsite Project Lead
Maricopa Correctional Health Services - Phoenix, AZ March 2015 to April 2015
On-Sitete project
Successful Professional Practice at Mayo Hospital and Correctional Health
Service- Destroying Medical Records Prior to 2007 according to a retention policy, but sorted for patients, who came back to jail in 2007 in the case when they needed
Customer/Administrative Clerk
CN Metal - Phoenix, AZ January 2009 to December 2010
Researching daily based rate for scrap metal, created reports for buying scrap metal from the general public and overseas shipping.
Handled cash, interacted with customers, and created reports for scrap metal purchases and overseas shipping.
Ensured daily scrap metal rates were accurate for each transaction.
Maintained customer files and reported large scrap metal sales to police department as required by law.
Education
AAS degree in Health Information
Phoenix College - Phoenix, AZ 2012 to 2015
General Studies in Education
Central Arizona College - Coolidge, AZ 2004 to 2006
English University of the Philippines –Manila 1996-1998
High School Diploma Chosun Women High School- Gwanju S.Korea 1989-1992
Skills
•Microsoft Office/Teams
•Epic and Cerner Healthcare Platform
•EHR Privacy and Security rule assured
•Claims in UB04 and HCFA forms
•CPT Coding
•Medical Records
•ICD-10
•Hospital Experience
•HIPAA
•Telecommunication
•Medical Coding
•Google Docs
•Insurance Verification
•EMR Systems
•Medical Billing
•Medical terminology (4 years)
Contact this candidate