Summary

Overview

Work History

Education

Skills

Timeline

Cynthia Howard

Health Care

Pontiac,MI

Summary

4 + Years of Healthcare experience in Medical Billing, Claims Review, QI/HEDIS, and Medical Records.

Claims review/auditing, insurance verification (government & commerical) insurance follow-ups

Strong customer service background speaking with insurances, providers, patients, 3rd parties, etc.

Call Center experience handling 100 + calls daily inbound/outbound, heavy data entry ensuring accuracy.

Proficient with EMR (EPIC, Meditec, Cerner) Microsoft Office, data entry, typing, various computer programs.

Overview

years of post-secondary education

years of professional experience

Work History

Medical Biller

Change Healthcare Corporation - Vaco

Shelby , MI

2020.06 - Current

Complete all aspects of claims processing for assigned clients in a timely, accurate, and high-quality manner.
2.
ICD-10 Coding 3.
Claims preparation, submissions, denials, insurance filing, reconciliation, correcting claims errors and rejections.
4.
Tasks apply to all claims whether primary or secondary 5.
Updates, errors or omissions.
Request for Medical Records to be mail to provider

Follow -Up Representative

R1 RCM Inc

Southfield , MI

2019.07 - 2020.01

Handling inbound and outbound calls from patients who have had a medical procedure done in the hospital but do not have insurance. Working with the patient to try and get them signed up for Medicaid or another form of insurance Internet research to figure out where the patient is in the process of Medicaid, what they qualify for, etc.

BBS Billing/ROI Medical Records Specialist

MRO Corporation

Southfield , MI

2017.11 - 2019.06

Review/audit claims/billing information ensuring proper & accurate data is entering before send for billing Determine records to be release along with UB medical records by reviewing requester information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.
Respond to the phone calls from medical and support personnel requesting medical records or patient identification to be read from the record.
Log medical record requests and UB claims into MRO database.
Scan medical records into MRO database.
Respond to walk-in customers requesting ROI/BBS information and log information provided by customer into MRO database.
Respond and process requests from physician offices on priority basis, fax info to requesting party Comply with site facility policies and regulations.
At specified sites, responsible for handling and recording cash payments for requests.
Escalate issues to manager that delay timely release of records.

Quality Improvement Coordinator

Molina Healthcare Inc

Pontiac , MI

2015.01 - 2017.09

Works under the direction of the HEDIS Clinical Lead and other clinical personnel.
Responsible for working independently in the office and may involve entering measure specific or testing information to a database and/or organizing and tracking records.
Tracking of fields staff assignments and initial quality review on returned.
Medical records to ensure the records legible and contain customer identifying and mailing members for HEDIS specific requests, maintaining an organized filing system.
All medical records and maintained at the Client Health Care office.
Cvd HRA from doctor input in QSHR review to make HRA is complete and sign by doctor.
Work in Provider Engagement doing research work and work on MCIR updating immunization records.
E N/A in Healthcare Information Technology.

Education

High School Diploma -

Pontiac Northern

Pontiac, MI

1985.09 - 1988.06

No Degree - Medical Assisting

Baker College

Flint, MI

No Degree - Health Information Technology

University Of Phoenix

Tempe, AZ