Experience

Nexus Healthcare Solutions, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Account Manager

  • Dec 2018 - Jul 2020

  Los Angeles, California, United States Account Manager: • Managed company’s largest account – Nevada Gastro • Pulse reports, denials, rejections, not billed claims, etc • Charge Audits – confirmed information is correct in patients account prior to charges being sent out • Answered escalations/Emails from Customer Service – patient concerns • Forward queries to customer service – contact patients • Entered feedback into Knack – Corrections in patients accounts in Kareo • Answered Knack queries – Charges and… Show more Account Manager: • Managed company’s largest account – Nevada Gastro • Pulse reports, denials, rejections, not billed claims, etc • Charge Audits – confirmed information is correct in patients account prior to charges being sent out • Answered escalations/Emails from Customer Service – patient concerns • Forward queries to customer service – contact patients • Entered feedback into Knack – Corrections in patients accounts in Kareo • Answered Knack queries – Charges and Payment queries • Called insurance companies – status on claims, denials, EOBs, etc. • Correct and rebilled claims • Wrote off patient balances Intake Coordinator • Scanning all paper charges, billing, payments • Uploading electronic charges, billing, payments • Coordinated with others to print/mail out claims • Ordered office supplies • Systems used – eBridge, Internet, Kareo, MD Suite, Pulse, Zoom, CureMD, JP Morgan/LogMeIn Accounts, Practice Fusion, Alteer/CGM, Cedars Portal, Zoll, Office Ally Practice Mate, Collectly

• Account Manager

  • Dec 2018 - Jul 2020

  Los Angeles, California, United States Account Manager: • Managed company’s largest account – Nevada Gastro • Pulse reports, denials, rejections, not billed claims, etc • Charge Audits – confirmed information is correct in patients account prior to charges being sent out • Answered escalations/Emails from Customer Service – patient concerns • Forward queries to customer service – contact patients • Entered feedback into Knack – Corrections in patients accounts in Kareo • Answered Knack queries – Charges and… Show more Account Manager: • Managed company’s largest account – Nevada Gastro • Pulse reports, denials, rejections, not billed claims, etc • Charge Audits – confirmed information is correct in patients account prior to charges being sent out • Answered escalations/Emails from Customer Service – patient concerns • Forward queries to customer service – contact patients • Entered feedback into Knack – Corrections in patients accounts in Kareo • Answered Knack queries – Charges and Payment queries • Called insurance companies – status on claims, denials, EOBs, etc. • Correct and rebilled claims • Wrote off patient balances Intake Coordinator • Scanning all paper charges, billing, payments • Uploading electronic charges, billing, payments • Coordinated with others to print/mail out claims • Ordered office supplies • Systems used – eBridge, Internet, Kareo, MD Suite, Pulse, Zoom, CureMD, JP Morgan/LogMeIn Accounts, Practice Fusion, Alteer/CGM, Cedars Portal, Zoll, Office Ally Practice Mate, Collectly



Fair Oaks Women's Health

• United States
• 1 - 100 Employee

• Medical Records Technician

  • Aug 2017 - Dec 2018

  Pasadena, CA • Scanning – Forms, Records, Prescription Requests into patient files • Faxing – Records, Requests for records • Attaching records to patient chart from electronic fax, document import • Calling Dr’s office for records • Process credit card payments for medical records request



Kforce Inc

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• HEDIS Coordinator

  • Sep 2015 - May 2017

  Monterey Park, CA HEDIS Coordinator



Altegra Health

• Hospitals and Health Care
• 100 - 200 Employee

• Medical Records Technician

  • Jul 2012 - Jul 2014

  I went to Dr.'s offices and collected patient information that the medical insurance company requested for medical record audits. I would either scan the paper charts into my company laptop or have access the the Dr. office's EMR system then I would transfer the information to the company laptop and upload the information to the company to complete the audit process. I have worked with multiple EMR systems such as Epic, EClinical Works, Medent and others. I was also trained and worked on the… Show more I went to Dr.'s offices and collected patient information that the medical insurance company requested for medical record audits. I would either scan the paper charts into my company laptop or have access the the Dr. office's EMR system then I would transfer the information to the company laptop and upload the information to the company to complete the audit process. I have worked with multiple EMR systems such as Epic, EClinical Works, Medent and others. I was also trained and worked on the HEDIS projects in 2013 and 2014. I went into medical offices and collected the data from the offices and entered it into the company laptop. I worked closely with the medical offices during this time. I would also QA the medical records once they were received from other offices to make sure that we had the correct patient, DOB, dates of service, and that the information was legible. If not then I would document it and then send it back to the Imaging Department. I would travel all over the state of Oregon and any other states that the company required. I assisted other employees as needed.

• Medical Records Technician

  • 2012 - 2014

  I went to Dr.'s offices and collected patient information that the medical insurance company requested for medical record audits. I would either scan the paper charts into my company laptop or have access the the Dr. office's EMR system then I would transfer the information to the company laptop and upload the information to the company to complete the audit process. I have worked with multiple EMR systems such as Epic, EClinical Works, Medent and others. I was also trained and worked on the… Show more I went to Dr.'s offices and collected patient information that the medical insurance company requested for medical record audits. I would either scan the paper charts into my company laptop or have access the the Dr. office's EMR system then I would transfer the information to the company laptop and upload the information to the company to complete the audit process. I have worked with multiple EMR systems such as Epic, EClinical Works, Medent and others. I was also trained and worked on the HEDIS projects in 2013 and 2014. I went into medical offices and collected the data from the offices and entered it into the company laptop. I worked closely with the medical offices during this time. I would also QA the medical records once they were received from other offices to make sure that we had the correct patient, DOB, dates of service, and that the information was legible. If not then I would document it and then send it back to the Imaging Department. I would travel all over the state of Oregon and any other states that the company required. I assisted other employees as needed.



The Center Neurological and Orthopedic

• Coding

  • Aug 2010 - Dec 2010

  Authorizations Received surgery and procedure work up paperwork for patients, called insurance companies to verify benefits, check eligibility, and check if prior authorization was required. If prior authorization was required, sent the company required documentation to get authorization. Called patient’s if there was an error on the policy numbers that we had on file. Assisted other employees as needed. Accounts Receivable Retrieved patient accounts in the computer that have an… Show more Authorizations Received surgery and procedure work up paperwork for patients, called insurance companies to verify benefits, check eligibility, and check if prior authorization was required. If prior authorization was required, sent the company required documentation to get authorization. Called patient’s if there was an error on the policy numbers that we had on file. Assisted other employees as needed. Accounts Receivable Retrieved patient accounts in the computer that have an outstanding balance on the account. Researched why patient’s accounts were not being paid by the insurance company. Called the insurance companies to find out if there was any information that was required from us or the patient that the company was waiting to process the claim. Called patients if the insurance company was waiting for information from them, advising that the requested information was needed at the insurance company to process their claims. Researched and retrieved explanation of benefits for explanation of non payment on claims. Assisted other employees as needed.; Printed the schedule for the day before, retrieved the charge sheets, procedure sheets, surgery work-ups from the doctors. Checked to make sure that all the charge paperwork was there, sorted the paperwork per doctor and date. Sent the surgery paperwork to the coders for input. I handled three doctors that entered their own charges. I made sure that the charges are the same ones on the paperwork. I transferred the information to another computer system to send out the insurance company for payment. I added any other cpt or diagnosis codes that the Dr added on the paperwork. I then sent out the billings electronically to the insurance companies for payment. Assisted other employees as needed. Show less



The Center Neurological and Orthopedic

• Medical Records

  • Jun 2008 - Nov 2009

  Answering multi-line phones, assisting patients, medical records, making and breaking down charts, scanning and filing into EMR system, faxing, recording information into an EMR system. Assisting other employees as needed.



East Cascade Women’s Group

• Scheduler

  • Apr 2007 - Apr 2008

  Responsibilities included answering multi-line phones, assisting patients, making appointments for patients, confirming future appointments for patients, data entry, filing patient’s charts in medical records, sending messages to other employees via computer. Working with an EMR system. Experience with Microsoft Word/Excel/Outlook. Assist other employees as needed.



St. Charles Hospital

• Surgi-Center Unit Secretary

  • Jul 2006 - Aug 2006

  Responsibilities included answering multi-line phones, assisting patients, making up schedules for the nursing staff for the next day, data entry, breaking down patient files after surgery. Experience with Microsoft Word/Excel/Outlook. Assist other employees as needed.



Choice Insurance

• Administrative Assistant Supervisor

  • Aug 2002 - May 2006

  Responsibilities included answering multi-line phones, distributing incoming and out going mail, data entry, processing payments, processing applications (quoted and wrote policies), scanning and attaching all required documents. Supervisor over one employee. Experience with Microsoft Word/Excel/Outlook. Also, I assisted clients with existing policies and billing inquires. Worked with multiple insurance companies processing endorsements, billing, and technical support issues. Aspen Ridge



Aspen Ridge

• Certified Nursing Assistant

  • Sep 1998 - Mar 2002

  Responsibilities were assisting nurses in the care taking of in house clients. Helped feed, bathe, and dressed clients. I also scheduled bathing times. Checked clients who were on medication making sure correct medicine and doses were given. Experience with Microsoft Word/Excel/Outlook. Greet clients, answer multi-line phones.