Summary
Work History
Education
Skills
Timeline
Generic

Catherine (Cathy) Havens

Customer Service
Chandler,AZ

Summary

  • Result-driven Medicare Claims Processor at Newport Community Hospital with expertise in documentation and compliance.
  • Claim accuracy through attention to detail and improved efficiency by streamlining workflows.
  • Strong problem-solving skills and a commitment to timely processing.
  • Created strong working relationship with Medicare and insurance entities for correct claim submission.
  • Knowledgeable in coding compliance.

Work History

Medicare Claims Processor

Newport Community Hospital
2017 - 2018
  • Collaborated with medical providers to obtain necessary documentation for claim submission, reducing delays in payment processing.
  • Mitigated risk of fraud by implementing verification procedures during the claims process.
  • Reduced errors in Medicare claims submissions through attention to detail and thorough review processes.
  • Improved claim processing efficiency by implementing new software and streamlining workflows.
  • Maintained strict compliance with all regulations, ensuring accurate and timely claim processing.
  • Developed expertise in various Medicare billing codes, allowing for quick identification of discrepancies or potential issues within claims.
  • Managed a high volume of daily claims and consistently met deadlines and maintained quality standards.

Hospitalist Office Assistant

Banner Health - Boswell & Del Webb Hospitals
2010 - 2017
  • Daily organization and patient distribution for Hospitalists with addition of new patients to their patient load.
  • Worked with in-house and Locum Tenens Hospitalists.
  • Ensured Locum Tenens were documented, paid properly and added to organizational list for current hospital and other facilities.
  • Worked with multiple facilities to create compatible work areas for employee coverage.
  • Assisted with any correspondence needed by the Practice Manager and/or Hospitalists.
  • Worked with computer developers on existing and upgraded programs.
  • Used Software to coordinate and schedule services, treatments and consultations.

Medical Biller and Coder

Sun Healthcare Group
2007 - 2010
  • Reviewed, analyzed, and managed coding of diagnostic & treatment procedures in patient medical records.
  • Reviewed patient records and interpreted documentation to identify diagnoses and procedures.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from AMA and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Coded and billed medical claims for hospitalists.
  • Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
  • Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
  • Assisted patients with understanding their insurance coverage and financial responsibilities Fostered positive relationships & trust between the practice and clients.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

Business Manager

Buckeye Sports Shop
2005 - 2007
  • Communicated with customers and vendors positively with particular attention to problem resolution.
  • Assisted customers and clients with personal gun purchases and accessories.
  • Created sales plans for existing gun and ammo stock to increase profits.
  • Ensured that the shop was in compliance with all federal, state and other entities regarding licensing, permits and sales.
  • Oversaw financial operations, maintaining accurate records..
  • Negotiated price and service with customers and vendors to decrease expenses and increase profit.

Education

No Degree - General Studies

Maricopa Community Colleges, Scottsdale Community College
Scottsdale, AZ
05.2001 -

No Degree - Home Economics

University of Arizona
Tucson, AZ
05.2001 -

High School Graduate - General Studies

Palo Verde High School
Tucson, AZ
06.1969

Skills

Computer & Data Entry Skills

Documentation Oriented

People Person

Account management

Problem-Solving

Self & Team Motivated

Mechanically Inclined

Ranch raised - Dogs & Livestock

Lived Off-Grid

Hard Worker

Timeline

No Degree - General Studies

Maricopa Community Colleges, Scottsdale Community College
05.2001 -

No Degree - Home Economics

University of Arizona
05.2001 -

Medicare Claims Processor

Newport Community Hospital
2017 - 2018

Hospitalist Office Assistant

Banner Health - Boswell & Del Webb Hospitals
2010 - 2017

Medical Biller and Coder

Sun Healthcare Group
2007 - 2010

Business Manager

Buckeye Sports Shop
2005 - 2007

High School Graduate - General Studies

Palo Verde High School

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Catherine (Cathy) Havens Customer Service
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