Experience

UCare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Provider Relations Representative

  • Jan 2015 - Present

  •Answer, resolve, track and document telephone calls to the Provider Assistance Center in a timely and professional manner. Communicate effectively with internal departments and external customers regarding provider concerns and research and resolve issues as appropriate. Educate providers on policies and procedures related to our health care programs. •Research and resolve all provider written inquiries through knowledge of contracts, policies, and procedures. •Identify trends/issues that emerge in calls/correspondence, and inform Team Lead or Supervisor. Assist in the development and communication of resolutions to internal staff, as requested. •Demonstrate and maintain a thorough and complete working knowledge of appropriate UCare information management systems and ACD telephone system. •Maintain good working relationships and open communication with internal and external customers. •Attend department and other meetings as requested. •Other projects and duties as assigned



Hennepin Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Revenue Cycle Management HCMC

  • Nov 2011 - Dec 2014

  Sr Claims Rep Rcm HCMC - Minneapolis, MN - November 2011 to Present Responsibilities •Medical billing and follow up for TPL Commercial Insurance: Exceeded weekly goals of 320accounts •Billing: Authorization Documentation, Coding review Records and Chart notes •Collections for past due payments for insurance and self-pay. •Building relationships with providers and adjusters,, nursing homes and hospital facilities •Extensive work with auto claims, accidents, dealing with medical equipment and personal injury claims. •Patient and Business insurance eligibility checks for greatly improved outstanding AR –denial balances •Insurance verifications, update, eligibility checks, satisfying denials-rebills •Medicare and Medicaid educated for billing and follow-up



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Cobra Insurance

  • Jan 2010 - Mar 2011

  Assist billers in Cobra Insurance with Open enrollment, and forward packets to groups for benefits and cancellations. Scanning and check for correct forms. Scan payments for accounts receivable. Fax open enrollments. Sonus USA Assist billers in Cobra Insurance with Open enrollment, and forward packets to groups for benefits and cancellations. Scanning and check for correct forms. Scan payments for accounts receivable. Fax open enrollments. Sonus USA



Allina Home Oxygen and Medical Equipment -

• Minneapolis , Minnesota

• Self Pay Medical Billing -Collections Supervisor

  • Jan 2008 - May 2010

  Supervised team of 5 employees that call on self pay balances on medical billing accounts. Making daily 50-75 calls per day. Verified and updated patients medical insurance. Took patients billing questions resolved conflicts on wrong billing. Reviewed and made decisions on sending accounts to collections. Skip-tracing on accounts missing information. Review accounts for Hardship free care. Enter claims for medical billing. Creating statements for billing and taking collection payments by credit card check.



River Ridge Treatment Center

• Burnsville

• Billing Manager

  • 2007 - 2010

  Medical billing supervisor for chemical assessments and treatment services medical coding. Manage a team of three billers. Communicate and chase claims for billing errors and collections for past due payments for insurance and self-pay. Eligibility checks and verification/authorizations for facility billing.Submit electronic claims for medical billing. Code picking and verifying correcting and resending denied claims. Medical billing supervisor for chemical assessments and treatment services medical coding. Manage a team of three billers. Communicate and chase claims for billing errors and collections for past due payments for insurance and self-pay. Eligibility checks and verification/authorizations for facility billing.Submit electronic claims for medical billing. Code picking and verifying correcting and resending denied claims.