KIM NGUYEN, CMRS

Certified Medical Biller/Reimbursement Specialist at Cherry Health
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Contact Information
us****@****om
(386) 825-5501
Location
Grand Rapids Metropolitan Area
Languages
  • English Native or bilingual proficiency
  • Vietnamese Native or bilingual proficiency
Skills

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Bio

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Credentials

  • Certified Medical Reimbursement Specialist
    American Medical Billing Association
    May, 2014
    - Nov, 2024

Experience

  • Cherry Street Partners
    • United States
    • Financial Services
    • 1 - 100 Employee
    • Certified Medical Biller/Reimbursement Specialist
      • Sep 2013 - Present

      Working the self-pay accounts receivables report, which includesmaking sure all eligible insurances have been billed within timely filing limits, verifyingproof of income that may be applied for sliding fee adjustments, mail letter (createdby me, approved by Financial Director) or call patients to offer paymentarrangements, and preparing accounts to send out to collection agency (only after alloptions to collect from patients exhausted, per office's policy). Answering in-comingcalls with billing issues, taking payments over the phone. Handling bankruptcyaccounts, budget accounts, refund accounts, entering info to collection website, helping sites with insurance/billing issues. Working rejection, delinquent claims, review EOBs, remits, posting payments

  • Imaging Healthcare Specialists
    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Patient Service Representative
      • Feb 2012 - Aug 2013

      • Authorization Coordinator: verify and confirm patient’s insurance eligibility and benefits via health plan web sites and IVR. Obtain authorizations required by Health Plans. Update patient’s data into DR system. Verify patients’ financial portion prior to procedures. Answer incoming calls assisting physician offices’ staff ordering process, given correct CPT codes. Answer calls from patients confirm financial portions, instruct uninsured patients to apply for assistance, obtain retro authorizations with various health plans. Assist with billing when needed, post payments, run balance reports, fix billing errors• Registration Specialist: check in patients at front desk, schedule appointments, collect amount due at time of service

  • Cherry Street Health Services
    • Referral Coordinator, Medical Assistant, Patient Registration/Scheduler
      • Nov 2000 - Jul 2011

      • Referral Coordinator: update patient demographic financial and primary care information as needed, on-line scheduling with specialists, coordinate with diagnostic studies, faxing pertinence medical records to specialists, daily phone conversations with patients, physician offices and insurance companies to obtain authorizations from HMOs and government insurances, also obtain authorizations via on-line or fax. Schedule in house appointments to coordinate with specialists' appointments. Developed Referral process to allowed successful results of my work.• Medical Assistant: direct patient care, colleting vitals, and record chief complaints, perform various in-office testing, EKG, given immunizations, draw blood on all ages, call in prescriptions, and inform results to patients. Get approval for prescription drugs with insurance companies. In charge of ordering and refill medical and office supplies

Education

  • Davenport University
    Associate's Degree, Medical/Clinical Assistant, Administrative Assistant
    1991 - 1993

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