Maryam Arab Hosseini

949-***-****

Woodman Avenue CA 91405

adx6wp@r.postjobfree.com

Objective

A diligent, hardworking individual – with the ability to perform a broad range of assignments with an exemplary proactive work ethic, ability to lead and to accommodate changes in a fast-paced environment.

Skills

oBilingual English/ Farsi

oAdvanced understanding of ICD-10-CM, CPT, HCPCS

With AAPC training program.

oUnderstanding of government vs. private payers.

oFamiliar with BCBS, Aetna, UnitedHealthcare,

and Cigna Billing process.

oFamiliar with HIPPA Complain

oBasic understanding of Billing process

oUnderstand the patient registration.

oFamiliar with billing cycle and collection.

oProficient usage of CMS-1500

oStrong understanding of ICD-10-CM Guidelines

General understanding of workers compensation claims completion

Work History

University of California Los Angele (UCLA) – Remote Position November 2021- present

Patient Authorization

oIn depth knowledge of working with care connect and Epic.

oEvaluate portions to be paid by the customer as well as perform all insurance related assignments as instructed.

oObtain authorization via payer website or by phone and follow up regularly on pending cases

oConfirm accuracy of CPT and ICD-10 diagnoses in the procedure order

oContact patients to discuss authorization status

o Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

Sothern California orthopedic institute- (SCOI) – Van Nuys January 2021- November 2021

Patient Benefits Coordinator

oAbel to get surgical benefits based on anticipated Procedure (S) to be performed.

oObtain all insurance authorizations and referrals.

oActs as a liaison between the clinical team, patients and the insurance company.

oAnswer incoming calls regarding benefits, eligibility, authorizations and referrals as well as other inquiries as it relates to health insurance and acts as patient advocate.

oIn depth knowledge of working with care connect and Epic.

Southern California Orthopedic Institute -(SCOI) – Van Nuys (Temp Position) May 2019- January 2021

Billing Representative/ Assistants

oAssure compliance with billing requirements for workers compensation and third-party liability claims.

oAssess unpaid claims and research denials for timely payment.

oAnalyze accounts for underpayments or denial and submit appeal in a timely manner.

oKnowledge of Workers compensation Appeals Board, reconsideration and SBR form.

oResponsible for Mail Processing and Indexing.

United Medical Imaging - Westwood, CA January 2019- May 2019

Medical Biller/ Collector

o Perform Billing / Collections Activities for both Medicare and private insurances.

o Work with Electronic and paper Charts.

o Accurately apply payments to patient Accounts.

o Research and solve incorrect Payments, Patient data and EOB rejection.

o Data Entry, Insurance Verification for both Medicare and Private insurances.

Podiatric Doctor Office – West Hills, United States 2015 - 2018

Doctor’s Assistant

oUpdate and maintain all digital client records

oRecord patient information such as vital signs, weight, and changes in medical history prior to each appointment

oClean and prepare examination room prior to patient appointment

oWork in the front office taking care of tasks such as answering phone calls and greeting patients as they enter to the facility

NRCS/RCD – Oxnard, California, United States 2014 – 2016

Irrigation Water Management Specialist

oAssist clients with resource inventories and surveys by determining the management plan objectives, yield goals and resource concerns that have a direct impact in Irrigation Water Management (IWM)

oIWM scheduling plan

oWorking closely with clients to develop an understanding of irrigation system performance to determine the duration of irrigation

oDirect communication with various Irrigation Management systems included: Hortau, Weather Stations and soil moisture sensors

USDA NRCS/ LUSA – Oxnard, California, United States 2012 – 2014

Earth Team Volunteer

oPerformed resource inventories and conservation plans

oWorking knowledge of ARC GIS, and web soil survey to identify soils, physical and chemical soil properties and produce soil maps in regards to pre planning process of irrigation water management and conservation plans

oImplementation of Best Management Practices

oWater Quality Management and Irrigation Water Management

Education

Southern California Health Institute, Medical Billing and Coding, AAPC Certification Program, 2019

oCPC in Process

oCPB in process

Cranfield University, United Kingdom, Masters of Science in Soil Management, 2007

Azad University, Iran, Bachelor of Science in Botany, 2004

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