Medical Records Accounts Receivable

EXPERIENCE

**/****- ******* ******** ******** & Integration LLC -Human Resource

Representative

Maintain, process, and administer payroll functions and work within payroll laws and regulations while utilizing Company software TriNet. Assist with recruiting and hiring process. Conduct orientation and continuing education training on policies and procedures. Assist with employee performance records and reviews while working closely with department managers. Conduct and participate in investigations. Conduct audits, keeping accurate logs and records. Troubleshoot and investigate any errors in records. Managing the Safety Committee and assists with maintaining safety records and facilitate training. Processes and maintains uniform orders for employees. Assists with special event planning and team building events. Maintain appropriate records and provide accurate documentation. Assist with employee questions and inquiries regarding benefits and payroll while maintaining a high level of confidentiality. Provides feedback that establishes a positive and innovative environment for the Company. Aligns goals with the Mission, Values and Goals of the Company. Multi- task and successfully completing tasks and meeting deadlines. Utilizes all forms of communication such as e-mail, telephone, text messaging and in-person with quick follow-up with fellow team members, vendors, customers, and other entities related to work. 9/2021 – 01/2022 (contract ended) Insight Global- Optum- Billing and coder Review medical records and physician reports with Medicare and translate them into billing codes to submit to carrier to be sure get payment per contract. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 07/2020- 09/2021 Banner Professional Financial Services- UHC- Medicare advantage and Medicare - Billing and coder (company eliminated positions -covid) Coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Working with the payers Medicare advantage and Medicaid carrier to be sure get payment per contract. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. Assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. Assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. SAGE DOWNHOUR

Peoria, AZ 85382 · 602-***-****

********@*****.***

CAREER OBJECTIVE

I am seeking a dynamic position that enables me to leverage my skills and experience to build robust relationships with employees while enhancing the efficiency of employment administrative tasks.

>Skilled at working with people with diverse background.

>Ability to multi-task and successfully complete task within the deadlines.

> Proficient with different uses of software such as excel, Microsoft, adobe and other computer software.

> Effective team member with strong communication skills.

>Able to grow and change with the company growth.

>Hardworking with good judgment in different situations.

> Excellent organizational skills

2

11/2019- 07/2020 Revenuecm-

Review medical coding and billing of claims to ensure practice (s) are adhering to insurance policies and contracts. Ability to find billing patterns and trends with abuse or fraud. Ensure month end billing deadlines are met. Responsible for researching, documenting, and resolving billing issues. Communication between doctors and insurance to confirm accurate payment of claims. 8/2017-5/2019 Revenetix- Billing/Coding OBGYN specialist (companywide lay off) Review medical coding and billing of claims to ensure practice (s) are adhering to insurance policies and contracts. Ability to find billing patterns and trends with abuse or fraud. Ensure month end billing deadlines are met. Responsible for researching, documenting, and resolving billing issues. Maintain the compliance of the department with the local, state and federals laws. Review daily assignments and cases, with accountability to quality and productivity standards Adhere to all company policies and procedures carefully and properly. Recognize and communicate payor trends to supervisor. Must have knowledge of HIPAA laws and regulations. Assist Billing Team with denials regarding original claim submissions. Assist with other projects assigned by supervisor.

2011- 2017 Owner of Massage by Sage- Massage therapist (relocated) I provided multiple types of massage therapy to my clients in the comfort of their own home. Massages performed were Hot Rock, Swedish, Deep Tissue Prenatal and reflexology. I managed contracted therapist as well as doing the interview and training process. Managed the book keeping of the company. 2008-2011 Chase -Fraud prevention analyst

In and outbound and inbound call center, I analyzed card members account using the computer and 10 key. We were to make a customer connection to confirm transaction that are suspicious using great customer service for card member. EDUCATION

Bryan University- Associates in Human Resource- Present- Graduation 4/2025 04/2024 Bryan University- Business Administration Certificate 2016 AAPC - CPC training to gain knowledge, skills, and expertise with medical coding certification 2004-2005 Arizona School of Massage Therapy Phoenix, Az -several different kinds of massages, professional development, and customer service skills. 2002 -High School Diploma- Snowflake High School

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