Amber Hughen
Vista,CA
Summary
Detail-orientated Medical Billing Specialist with 2+ years of experience in the medical claims process along with 15+ years of diverse experience. Proven to work well with a team and independently to reach financial goals with efficiency, problem solving skills and posses the ability to provide excellent customer service. Computer literate in Microsoft Office, Outlook, Excel, Word, PowerPoint, EDI, Payer Portals.
Authorized to work in the US for any employer.
Overview
21
21
years of professional experience
Work History
Medical Billing Specialist
Advanced Diabetes Supply
Carlsbad, CA
12.2019 - 05.2022
- Communicated with insurance providers to resolve denied, underpaid and rejected claims. Utilized payer portals, phone, fax and mail to resubmit claims
- Knowledgeable and understands EOB's, commercial insurance, managed care, Medicare, familiar with Medicaid, HCPCS, CPT codes and modifiers
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted payments to patient's accounts and processed credit card payments
- Performed special projects upon request, assisted in training new team members
- Provided excellent customer service to payers and patients
- Follows HIPAA regulations and guidelines.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Worked closely with leads and managers, reported any new or potential billing issues before becoming unmanageable, resulting financial delinquencies
Customer Service Representative
Del Mar Thoroughbred Club
01.2019 - 11.2019
- Provided high profile customers assistance and support via phone, email and face to face activities
- Collaborated with team members to quickly and effectively resolve problems, complex questions and requests
- Assisted with filing for accounting and payroll department.
Owner and Operator
Hughen Plastering
Vista, CA
01.2001 - 01.2019
- Bookkeeping, filing, preparing contracts and invoices
- Train new hires on company policies
- Accounts Receivables; process credit card and check payments
- Process and balance weekly deposits
- Data Entry; Answer Phones, set appointments
- Manage and keep confidential all personal identifying information
- Review and submit payroll
Education
Vista Adult School, Comp A+
Vista, CA2016
Vista Adult School, Computers For Business I & II
Vista, CA2015
Vista Adult School, Quickbooks
Vista CA2012
Medical Terminology I & II, Medical Billing - undefined
Palomar Community College
1999
Home Health Aide, Medical Billing - undefined
ROP
1996
High School Diploma - undefined
Hamilton High School
1992
Skills
- Customer Service
- Microsoft Office
- Medical terminology
- Medical Billing
- Communication skills
- Computer skills
- Data Entry
- Typing
- Claim Processing
- Records Management
- Medical Insurance Processes
Timeline
Medical Billing Specialist
Advanced Diabetes Supply
12.2019 - 05.2022
Customer Service Representative
Del Mar Thoroughbred Club
01.2019 - 11.2019
Owner and Operator
Hughen Plastering
01.2001 - 01.2019
Vista Adult School, Comp A+
Vista Adult School, Computers For Business I & II
Vista Adult School, Quickbooks
Medical Terminology I & II, Medical Billing - undefined
Palomar Community College
Home Health Aide, Medical Billing - undefined
ROP
High School Diploma - undefined
Hamilton High School
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