Data Entry Medical Billing

Kou Lee Thao, BS

Oak Grove, MN

562-***-**** **********@*****.***

PROFESSIONAL STATEMENT:

Bilingual - Hmong/ White/Green - Quality-focused professional with 5 years of cross-functional medical experience in Medical Billing and Medical Support. Utilizing excellent communication, interpersonal, and organizational skills to complete tasks. Reliable with a good work ethic and the ability to quickly adapt to new tasks and environments. Skilled, trained and experienced in: medical management, community outreach, provider relations, EMR Systems, Salesforce, Sharepoint, Teams, Microsoft Windows, Trainer, customer resolutions and Healthcare operations. Knowledge and experience in Medical Terminology and Billing Support. WORK HISTORY

Propio Language Services Remote, Overland Park KS, 06/12/2024- Present

● Medical hospital procedure

● Scheduling appointments

● Medical Terminology, Data Entry/EMR, Microsoft outlook/Word/Excel, Sharepoint

● Emergency called/ OT/PT

Reimbursement Support Specialist Remote - (IQVIA) Allcare Plus Pharmacy 11/2023 - 5/2024

• Conducted Telephonic outreach for Verification of Eligibility with Health Insurance Companies

• Work on Special Medication Approval for Patients with ALS/PBC(Primary biliary cholangitis )

• Medical Terminology, Data Entry/EMR, Microsoft Outlook/Word/Excel, Five/9, Salesforce, Sharepoint

• Entered and Updated insurance/demographics into Salesforce system

• Adhered to 3rd party Insurance policies and HIPPA/OSHA/HEDIS Policies

• Prior-Authorization/ Appeal/ Denied/Approved

• Commercial, Medicare, Medicaid

• Called members/ HCP

Medical Contract Interpreter Remote - United Language Group, Minnesota, MN 8/2023- Present

• Serve as Interpreter effective communication between parties

• Render messages from one language to another clearly and accurately.

• Customer service outbound/inbound calls for third parties (KPI's: up to 30 calls a day)

• Social Service Annually Renewal, 911, and Physician Offices

• Medical hospital bills, and understanding the procedure, documents

• Helped with scheduling appointments, Insurance Questions/Concerns, HIPAA and OSHA

• Medical Terminology, Data Entry/EMR, Microsoft Outlook/Word/Excel, Sharepoint, Max in contact Medical Contract Interpreter Remote - OPI (Hmong) TransPerfect Connect 07/2023- Present

• Serve as Interpreter effective communication between parties

• Render messages from one language to another clearly and accurately

• Provide the highest level of customer service during interpreting sessions

• Helped with Scheduling, contacting Insurance Companies, Physician Offices, Lab's, and Radiology Departments

• Maintained and Kept all medical information confidential/HIPPA Compliant

• Used multiple software, SingleComm, Microsoft Word/Excel, EMR/Data Entry and Sharepoint Medical Billing Coordinator, Remote - Total Healthcare BIlling, LLC, 6120 Earle Brown Drive, Suite 225 Brooklyn Center, MN 55430 12/2022- 07/2023

• A/R Support, EOB checking, network status and working on overpayments/recoupment with insurance.

• Verification Of Eligibility, worked on Coordination of Benefits and Rejection Claims

• Medical Terminology, Data Entry/EMR, Microsoft Outlook/Word/Excel, Sharepoint, Availity, Office Ally, Valant and Clearing house

• Helped with Scheduling, in and outbound calls, documentation and demographics

• Understanding of Diagnostic and CPT Codes - KPI's and Metrics: 30 calls a day

• Prior-Authorization

• Appeal/ Denied/Approved

Interpreter (Independent Contractor) - Hann Interpreting Services LLC, Spring Valley, CA 11/2021- 07/2023

• Facilitate effective communication between parties that do not speak the same language

• Render messages from one language to another clearly and accurately, without omissions and additions, while maintaining message style, content, and context.

• Helped with Medical, Government, Schools, and Social Services

• Kept all communications confidential, HIPPA compliant Medical Billing Coordinator - Intangible Billing Services, Los Angeles, CA 10/2020-10/2021

• Corrected claims, and submit secondary billing to claims

• A/R Management/ Use insurance portal to check for claims status

• Electronic claim submission and eligibility verification

• Customer service inbound,and outbound call with patient and insurance carrier

• Medical Terminology, Data Entry/EMR, Microsoft Outlook/Word/Excel, Sharepoint, HIPAA and OSHA

• Submit appeal form, overpayment, understanding of Diagnostic and CPT Codes

• Helped with scheduling, In and Outbound calls, demographics, documentation and KPI's 30 calls a day

• Helped in training new employees

EDUCATION:

Alison Empower Yourself, Medical and Clinical Administration Certification - 2023 Fremont University, Cerritos, CA,Bachelor of Science, Healthcare Management -2021 to 2022 The Providence College, INC, Pico Rivera, Ca Medical Billing and Medical Coding Certification, - 2022 National Polytechnic College, Lakewood, CA - Associate in Applied Science Degree, Diagnostic Medical Sonography - 2021

CERTIFICATION:

Bloodborne Pathogens Infectious Disease Control Best Practices/Precautions, - 2024 Basic Life Support - BLS HCP- CPR (Adult/ Child / Infant/ Choking) Automated External Defibrillation/ First-Aid, - 2024 Certificate- HIPAA AND Fraud, Waste, and Abuse -2025 Certificate - Medical Terminology, Anatomy & Physiology- 2024 Pro-Certified - REMOTE HEALTHCARE INTERPRETER- 2024

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