Receivable Clerk Follow-Up

MAGGIE P SHIU

*************@*****.*** 510-***-****

Summary of Qualifications

Friendly, detail oriented, organized, and self-motivated with little or no supervision

Great understanding of HealthCare policy billing requirements

Strong Knowledgeable in medical systems, Payer portal, Microsoft Office, and QuickBooks

Multilingual in English, Cantonese, and Mandarin

WORK HISTORY

iRhythm Technologies, Inc.

San Francisco, CA February 2019 – December 2023

Claim Integrity Specialist –

Claim Resolution Specialist II

Verified complete and accurate demographic and financial information.

Answered all incoming phone inquiries and assist.

Managed all aspects of follow-up and claims research to address/resolved claim issues.

Followed with payers for unpaid and underpaid claims.

Resolved all incoming daily correspondences.

Coordinated with patients, medical providers to secure necessary documentation to payers

Obtained medical records and additional data from patients, preauthorization for services.

Leverage knowledge of payer portals regulatory and payer requirement for reimbursement.

Posted payment to patient accounts.

Health Plan of San Francisco

San Francisco, CA June 2018 – October-2018

Follow-up Representative

solved all incoming daily correspondences issues.

Scanned paper claim to system.

Assisted the other follow-up team for special projects to meet the deadline.

Sent letters and statement to patient.

Chinese Hospital

San Francisco, CA July 2017 – October 2017

Admitting Clerk

Admitted for daily registration of non-scheduled all type of patients.

Obtained complete and accurate demographic and financial information.

Answered all incoming phone inquiries and assisted or direct patients to the correct source.

Requested pre-authorization for services needed from insurance company.

Collected patient payment such as credit payment, check and cash.

Run balance daily general ledger.

UCSF/MGBS

Emeryville, CA February 2016 – May 2017

Senior Collection Representative

Posted payment into patient accounts.

Reviewed and sent patient statements monthly.

Reconciled aging account for refund and follow-up action as needed.

solved all incoming daily correspondences issues.

Contacted the carrier for underpayment, denied, and unpaid claims.

Assisted the other follow-up team for special projects to meet the deadline.

EDUCATION

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