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Cindy Hahn
Medical/Reimbursement Specialist
Luray,VA
Work Preference
Summary
Medical Insurance Professional with more than 25 years of expertise in physician and hospital billing practices. Proficient in billing for a wide range of physician specialties, including family/internal medicine, pediatrics, pulmonary, endocrinology, neurology, cardiology, OBGYN, recurring specialties, as well as hospitals, critical access facilities, and Rural Health Clinics. Demonstrates comprehensive knowledge in interpreting remittance advice, posting payments, processing contractual adjustments and denials, and overseeing appeals, prior authorizations, and referrals. Additional experience encompasses filing appeals, securing referrals, verifying benefits, and transcription services. Core competencies and areas of expertise include: extensive understanding of medical terminology, billing methodologies, claims processing, appeals management, payment posting, provider credentialing, referrals, and benefits verification. Skilled in applying ICD-9/10 and HCPC coding standards, executing charge entry protocols, and overseeing ROI procedures. Experienced in managing high call volumes within a call center environment and proficient in all facets of the revenue cycle. Strong analytical capabilities, advanced problem-solving skills, and meticulous attention to detail are consistently demonstrated.
Dynamic individual with hands-on experience in medical billing/reimbursement specialist and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Professional with strong experience in reimbursement processes and healthcare administration. Proven ability to manage complex billing systems, ensure compliance, and maximize revenue recovery. Valued for team collaboration, adaptability, and achieving measurable results. Skills include claims processing, coding, payer relations, and problem-solving. Reliable and responsive to evolving needs in fast-paced environments.
Overview
1
1
Language
36
36
years of professional experience
Work History
Reimbursement Specialist - Remote
Myriad Genetics
SLC, UT
04.2021 - 08.2022
- Aged claims are to be managed promptly through the appeals and reconsideration process within 48 hours of receipt.
- Conduct thorough research and process refund transactions as required.
- Evaluate denial patterns and reimbursement trends to improve the efficiency of payment processing times.
- Managed complex reimbursement processes to ensure timely claims submission and resolution.
- Collaborated with cross-functional teams to streamline workflows and enhance operational efficiency.
- Analyzed payer policies and guidelines to improve reimbursement accuracy and compliance.
- Developed strategic initiatives to optimize revenue cycle management and minimize claim denials.
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
- Prevented delays and claim denials by correcting information prior to submission.
Medical Billing Specialist, Credentialing - Remote
GTM Physicians Partners
Maidens, VA
09.2019 - 06.2020
- Responsible for accurately interpreting remittances and ensuring payments, denials, and adjustments are posted precisely.
- Analyze current denial trends thoroughly and implement suitable solutions.
- Submit claims to clearinghouses within two days of service, maintaining at least a 98% accuracy rate.
- Prepare comprehensive monthly reports, including payment and account reconciliations and financial statement preparation.
- Resolved billing inquiries and discrepancies to enhance patient satisfaction and provider relations.
- Analyzed patient accounts for accuracy, identifying trends in billing errors for process improvement.
- Posted and adjusted payments from insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Exceeded weekly number of claims production required with 98% accuracy.
Medical Billing Specialist, Payment Poster
Shenandoah Women's Health
Harrisonburg, VA
08.2018 - 11.2019
- Maintained accurate daily batch postings for insurance transactions, helping to minimize financial errors. Applied accounting software to efficiently and accurately reconcile bank accounts each day.
- Completed all carrier insurance remittances within 48 hours, achieving a 98% accuracy rate.
- Confirmed benefits and eligibility to support correct payment and billing procedures.
- Generated monthly Accounts Receivable reports that tracked trends, ensuring these were finished by the 10th of every month.
- Processed and submitted insurance claims, ensuring compliance with federal regulations.
- Reviewed patient accounts for accuracy, resolving discrepancies as needed.
- Utilized electronic health record systems to maintain accurate billing information.
- Analyzed billing trends to identify areas for process improvement and cost reduction.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Medical Billing Specialist/Payment Poster
E5 Workflow
OK
05.2016 - 05.2018
- Maintained comprehensive monthly spreadsheets for providers, recording denials and error correction procedures to optimize insurance payment processes.
- Prepared accounts receivable reports by the 10th of each month to identify significant trends and support data-driven decision-making.
- Supported new employee onboarding through training and assumed responsibilities as a team leader.
- Verified patient information and insurance coverage for accurate billing procedures.
- Processed and submitted insurance claims to ensure timely reimbursement for pulmonary services.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Utilized billing software to streamline revenue cycle management.
Medical Transcriptionist - Remote
Harrisonburg Medical Associates
Harrisonburg, VA
07.2011 - 06.2012
- Reviewed medical dictations for discrepancies and made corrections.
- Provided transcription services for neurology, cardiology, gastroenterology, nephrology, endocrinology and urology.
- Met quality and productivity goals, delivering work within two days and maintaining 98% accuracy.
- Strong knowledge of medical terminology, anatomy, physiology, and proficient in advanced English.
- Remote
- Reviewed and edited medical documents for grammar and adherence to formatting guidelines.
- Transcribed and edited medical reports for accuracy and clarity, ensuring compliance with industry standards. Met 2 day turnaround time daily.
- Utilized advanced transcription software to streamline workflow and enhance document turnaround times.
Front Office, Medical Billing/Records
Front Royal Pediatrics
Front Royal, VA
05.2010 - 03.2011
- Processed, investigated, addressed, and replied to medical records requests within a 48-hour timeframe.
- Coordinated appointments and verified insurance eligibility.
- Submitted all claims to insurance providers.
- Exhibited expertise in medical terminology, anatomy, physiology, and demonstrated proficiency in the English language.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Learned and adapted quickly to new technology and software applications.
Medical Billing Specialist, Collections
Page Memorial Hospital
Luray, VA
10.1999 - 04.2010
- Performed meticulous reviews and verifications of billing information to guarantee accuracy before submitting claims electronically or on paper.
- Filed HCFA/1500 and UB92 claims covering a range of medical services, including inpatient, outpatient, radiology, emergency room, laboratory, and ongoing care.
- Resolved all EDI claim rejections within 48 hours to maintain timely processing.
- Managed aged reports to aid in collecting unpaid patient balances, referred accounts overdue by more than 120 days to collections, and carried out judgment procedures as required.
- Processed medical claims efficiently to ensure timely reimbursements from insurance providers.
- Reviewed and corrected billing discrepancies to enhance accuracy in patient accounts.
- Conducted audits on billing procedures to identify areas for improvement in workflow efficiency.
- Trained new staff on medical billing systems and best practices for claim submissions.
- Identified and resolved patient billing and payment issues.
- Collected payments and applied to patient accounts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Posted payments and collections on regular basis.
- Generated monthly billing and posting reports for management review.
- Posted and adjusted payments from insurance companies.
Medical Transcriptionist
Valley Transcription
Luray, VA
01.2001 - 09.2006
- Remote part-time 2nd job
Medical Billing Specialist
Pulmonary Associates
Harrisonburg, VA
10.1998 - 10.1999
Patient Care Representative
Page Healthcare Associates
Luray, VA
04.1998 - 10.1998
Medical/Dental Claims Processor
Aetna US Healthcare
Dover, DE
08.1989 - 04.1998
- Processed dental claims efficiently, ensuring adherence to Aetna's policies and procedures.
Lead Front Office Specialist
Dr. Cerny
Dover, DE
03.1988 - 07.1989
Assistant Manager
Original Cookie Company
Dover, DE
05.1986 - 03.1988
Education
GED -
Dover High School
Dover, DE05.1987
Skills
- Demonstrated proficiency in CSPI, Encounter Pro, Xifin, Allscripts, Athenahealth, EPIC, Tricer, eScription, Microsoft Office (including Excel), electronic medical records (EMR), Navinet, Availity, Medicare and Medicaid systems, along with a variety of commercial insurance platforms
- Appeals handling
- HIPAA compliance
- Claims processing
- Microsoft office
- Insurance verification
- Denial management
- Payment posting
- Medical billing
- Eligibility verification
- Client service
- Medicare
- Commercial insurance
- Medicaid
Accomplishments
- Achieved 98% accuracy processing by completing reading and interpreting EOBs/ERA with accuracy and efficiency.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved denials which led to less rebilling and more payments after billing process completed.
- Collaborated with team of 5 in the development of Correspondence Unit. The Correspondence Unit was established to help costumer services reps remain on phones while more complex issues like claim audits, voiding checks, stop pay on checks, request overpayments and handle all correspondence.
Languages
English
Native or Bilingual
Timeline
Reimbursement Specialist - Remote
Myriad Genetics
04.2021 - 08.2022
Medical Billing Specialist, Credentialing - Remote
GTM Physicians Partners
09.2019 - 06.2020
Medical Billing Specialist, Payment Poster
Shenandoah Women's Health
08.2018 - 11.2019
Medical Billing Specialist/Payment Poster
E5 Workflow
05.2016 - 05.2018
Medical Transcriptionist - Remote
Harrisonburg Medical Associates
07.2011 - 06.2012
Front Office, Medical Billing/Records
Front Royal Pediatrics
05.2010 - 03.2011
Medical Transcriptionist
Valley Transcription
01.2001 - 09.2006
Medical Billing Specialist, Collections
Page Memorial Hospital
10.1999 - 04.2010
Medical Billing Specialist
Pulmonary Associates
10.1998 - 10.1999
Patient Care Representative
Page Healthcare Associates
04.1998 - 10.1998
Medical/Dental Claims Processor
Aetna US Healthcare
08.1989 - 04.1998
Lead Front Office Specialist
Dr. Cerny
03.1988 - 07.1989
Assistant Manager
Original Cookie Company
05.1986 - 03.1988
GED -
Dover High School
Additional Employment History
- Valley Transcription | Medical Transcriptionist (Remote) part-time 2nd job 01/2001 – 09/2006
- Pulmonary Associates | Medical Billing Specialist 10/1998 – 10/1999
- Page Healthcare Associates | Patient Care Representative 04/06/1998 – 10/1998
- Aetna US Healthcare | Medical/Dental Claims Processor 08/07/1989 – 04/1998
- Dr. Cerny | Lead Front Office Specialist 03/1988 – 07/1989
- Original Cookie Company | Assistant Manager 05/1986 – 03/1988
- Breaks in employment were due to caring for ill family members