Summary
Collaborative, encouraging candidate and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
14
14
years of professional experience
Work History
Manager, Business Systems and Analysis
XIFIN
09.2021 - Current
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Cross-trained existing employees to maximize team agility and performance.
- Maximized performance by monitoring daily activities and mentoring team members.
- Communicated clearly with employees, suppliers and stakeholders to keep everyone on same page and working toward established business goals.
- Developed and maintained relationships with customers and internal teams to ensure successfully implementations goal achieved.
- Elicited and clearly documented business and system requirements.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Established team priorities, maintained schedules and monitored performance.
Supervisor, Business Systems and Analysis
XIFIN
10.2019 - 09.2021
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity.
- Evaluated employee performance and coached and trained to improve weak areas.
- Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
Lead Business Systems and Analysis
XIFIN
10.2017 - 09.2019
- Collected, defined and analyzed business requirements.
- Trained business personnel in use of systems.
- Identified needed business improvements and determined appropriate systems required to implement solutions.
- Coordinated data migration and consolidation efforts.
Implementation Specialist
XIFIN
01.2015 - 09.2017
- Review compliance requirements and payor submission requirements
- Work directly with Implementations Project Managers and Data Integration team members to ensure that all file maintenance related tasks are completed Assist with loading database tables using existing Business Objects Data
- Successfully complete system validation for testing and audit purposes
- Build clients, consolidating rules, updating payors, reviewing payors
- Investigates and solves Salesforce cases related to file maintenance
- Analyze processes and troubleshoots errors in the billing databases
- Communicate technical issues easily and effectively at all levels of organization
- Develop processes and training Materials
- Build and maintain a strong knowledge of application logic and troubleshooting of issues
- Produce daily reports, analyze and review accounts for pricing accuracy
Reimbursement Specialist
XIFIN
01.2013 - 01.2015
- Verify insurance/recipient eligibility, billing and follow-up on claims to Medicare, Medicaid and Private Insurer Payers
- Review unpaid and/or denied claims, appeals and follow-up on accounts to zero status
- Research and respond to Medicare, Medicaid and other Payer inquiries regarding billing issues and insurance updates
- Running financial reporting for analytical and billing purposes
- Running and analyzing reports Multiple Customers sites
- Maintain and document activities for each account
- Reconcile accounts for Audit purposes
- Prevented delays and claim denials by correcting information prior to submission.
Reimbursement Specialist
DEXCOM INC
01.2013 - 01.2013
- Quality control on orders before releasing to be shipped out/work closely with AR Department
- Manage and track all stages of the claims process for non-contract/contract payors
Billing Analyst
VERICARE MANAGEMENT INC
01.2012 - 01.2013
- Analyze and work Aging report daily, submitting claim via paper and electronic
- Successfully appealed denied claims; conducted negotiations and utilized persuasive communication
- Worked closely with Medi-Cal, Medicare, Private Insurance to insure payments
- Posting Charges/verify eligibility, benefits information and prior authorization
Error processing Specialist
MILLENNIUM LABORATORIES
01.2011 - 01.2012
- Responsible for verifying the accuracy of claims, correcting errors and submitting claims electronically
- Building a firm relationship with clients and practices to submit clean claims
- Strong communication skills with Sales Reps to obtain missing information
Administrative Assistant II/receptionist Del
TERRA-GEN POWER
01.2010 - 01.2012
- Verifying Lease for accuracy and sending affidavit to land owners/ lawyers
- Creating excel reports for competitors in regional areas, filing and following up with land owners
- Reconcile statements and client contracts ensuring compliance requirements are met
Education
Business Management
Skills
- Leadership/Motivation/Teamwork
- Medical Terminology & Technology
- Office Administration/Management
- Computer Program Knowledge
- Collections & Negotiation Skills
- Insurance / Vendor Communication
- Communication / Patient Relations
- Clinical / Medical Coordination
- Medical & Hospital Billing
- MS Office (Word, Excel, Outlook, Powerpoint) , Paylocity, XiFin RCM, Availity, Matrix Imaging, Sales Force, PyschAdvantage, Zirmed, Oracle, Emedeon, Lashefiche, Medisoft, Business Intelligence
- Staff Training
- Issue Resolution
- Customer Relations
- Cross-Functional Collaboration
- Employee Performance
- Team Goals
- Staff Management/Project Management
- Employee Scheduling
- Verbal and Written Communication
Languages
Vietnamese
Native or Bilingual
Timeline
Manager, Business Systems and Analysis - XIFIN
09.2021 - Current
Supervisor, Business Systems and Analysis - XIFIN
10.2019 - 09.2021
Lead Business Systems and Analysis - XIFIN
10.2017 - 09.2019
Implementation Specialist - XIFIN
01.2015 - 09.2017
Reimbursement Specialist - XIFIN
01.2013 - 01.2015
Reimbursement Specialist - DEXCOM INC
01.2013 - 01.2013
Billing Analyst - VERICARE MANAGEMENT INC
01.2012 - 01.2013
Error processing Specialist - MILLENNIUM LABORATORIES
01.2011 - 01.2012
Administrative Assistant II/receptionist Del - TERRA-GEN POWER
01.2010 - 01.2012
Mira Costa College - , Business Management