Summary
Overview
Work History
Education
Skills
Reference
Timeline
Generic

Gao Ly Vang

Summary

Versatile and bilingual professional with a decade of experience in financial and
healthcare assistance at Hennepin County, Department Human Services and
University of MN Physicians. Excelled in client compliance, data management,
and providing exceptional customer service. Skilled in MS Office, State of MN
software, and fluent in English and Hmong, demonstrating significant
achievements in process improvement and client satisfaction.

Overview

22
22
years of professional experience

Work History

Financial Case Aide

Hennepin County, Human and Public Services Department
05.2024 - Current
  • Ensure that clients remain within established financial qualifications and in compliance with laws, policies, and procedures for case managers, clients, vendors, and providers
  • Enter and maintain client information on multiple databases
  • Maintain records of resources required and services received for case managers and other business partners
  • Implement processes to facilitate the authorization and payment of services for clients
  • Determine eligibility for financial assistance according to federal, state, and county laws, rules, and policies
  • Gather and report program outcomes and dashboard statistics
  • Entering USA (universal service agreements) into State website MMIS (management information system) for clients that are approve for CADI (community access for disability inclusion) waiver services, EW (elder wavier) and AC (alternative care)
  • Entering LTC screening in MMIS (management information system) to closing wavier due to death, moving out of the State, incarceration, client choose to close case, hospital and inpatient admit and re-open wavier
  • Responding to a high-volume email inquiries from case managers regarding multiple subject such as, Service agreements, adding or removing Procedure code, modifier, adding or removing units and changes to date of services.

Office Specialist 3

Hennepin County, Human and Public Services Department
06.2014 - 05.2024
  • Support the Chemical health department in the Human service department
  • Entering service agreements into State website (MMIS) for clients with different backgrounds that are approve for Treatment, Housing and Methadone services
  • Working with a diverse team and communities to ensure the treatment plan is placed
  • Responding to email inquiries from providers regarding multiple subject such as, Service agreements, adding or removing Procedure code, modifier, adding or removing units and changes to date of services
  • Troubling shooting and navigating in SSIS, MMIS and SAP for client's information needed for GRH housing
  • Investigating if a current Chemical health assessments has been completed, screening for client's information such as (pmi#, ssn#, insurance info) for Court units
  • Using government systems such as, ECF, SSIS and SAP
  • Train and assist eight (8) Hennepin County LADC on chemical health numbers, service agreements and several of other tasks needed
  • Manage a full range of responsibilities which includes the following: faxing cpa's to providers, assigning medical assistant numbers to clients, making incoming and outgoing calls for GRH appointments, pulling charts, triaging emails and faxes from providers
  • Support project child department by supporting a safe, sober pregnancies for healthy parents and their babies
  • Assisting with child welfare program, medical assistance and housing assistance to keep the families together.

Patient Register/Scheduler

Allina Health
11.2015 - 05.2016
  • Providing courteous customer service at both reception desk and scheduling desk, and over the phone for multiple clinic sites
  • Performing reception duties
  • Performing scheduling and registration
  • Collecting co-pays
  • Managing cash drawer to ensure collected co-pay is accurate
  • Providing high quality customer service
  • Perform operator / messaging duties.

LADC, Technician, RN, Security Assistant

American Indian Community Development Corporation(Detox)- AICDC
07.2014 - 09.2014
  • Assist LADC in Rule 25 assessments and Case management
  • Assist Technician in triaging clients and fling their belonging
  • Assist RN in charting client's medication, contacting other housing or pharmacy for medication needed, triaging clients and monitoring Surveillance screens (26 cameras)
  • Assist Security in triaging client if detox is necessary, detaining or restraining clients if needed
  • Data entry and filing paperwork.

Health Care Call Center Representative

Department of Human Services
03.2012 - 06.2014
  • Management of the department, develop and maintain a broad, integrated understanding of Minnesota Health Care Medical Assistance Program (MHCP) Wavier, (BI, CAC, CADI, DD, and Elderly Waiver), PCA and Homecare policies, rates, procedures, payment systems, automated systems, and billing practices in order to provider requested information and services to caller linking with DHS via its Provider Call Center
  • Balance the need to expeditiously service a continuous flow of customers with the importance of: conducting thorough research; providing quality services and good customer services; and ensuring relevant, accurate information
  • Provider referrals to other locations within DHS, counties, and other state agencies, only if needed to obtain specialized or specific types of information/services
  • Investigate and resolve and/or facilitate resolution of simple to highly complex problems reported by health care providers, members or other entities relating to MHCP and managed care plans
  • Navigate through various MMIS subsystems to obtain needed recipient and provider information; track transactions through historical claims data to isolate the problem/error and determine needed corrections and/or actions
  • Instruct providers on MN-ITS (Web based electronic claim submission software), billing, void claims, procedures, forms, and codes used in association with the MMIS
  • Keep versed and updated on policies, providers, practices, coding structures, forms, organizational structure, referral points, and available resources
  • Maintain a understanding of Medical Assistance eligibility types and program
  • Knowledge of federal and state administrative and statutory requirement
  • Assists with the large-scale management of heavy volume phone activity in response to major problems and/or changes for Wavier, (BI, CAC, CADI, DD, and Elderly Waiver), PCA and Homecare Providers
  • Federal and state coding systems associated with reporting and claims payment activity
  • Investigates and resolves and/or facilitates resolution of simple to highly complex problems reported by health care providers or other entities relating to health care claims and/or associated billing procedures
  • Effectively uses off-line time to research historical claims activities, locate/photocopy microfiche claims documents, screen and refers or responds to correspondence, and prepares caller-requested documents for mailing
  • Knowledge of Medical terminology, services, and procedures to instructs providers and other callers on procedures, forms, and codes used in association with the Minnesota Health Care Medical Assistance Program
  • Keeps flexible and versed on the range of providers and their specialized needs, as well as, a general understanding of MHCP Medical Assistance programs, county operations, and recipient needs in order to provide coverage for any station/work area of the Help Desk
  • Contacts insured or other involved persons for missing information
  • Prepares and reviews insurance related documents for completeness
  • Reviews insurance to determine coverage
  • Explains transactions and procedures, rules, and regulations so that others understand and are provided with clear, accurate direction
  • Determines the types of documents to prepare for various transactions
  • Analysis, Problem Solving and Decision Making-Works collaboratively with others to solve problems
  • Recognizes recurring problems and offers new solutions
  • Focuses on relevant clues when searching for information or analyzing problems with ambiguous or incomplete information to make informed decisions
  • Anticipates potential problems and takes preventive action.

Patient Representative

University of MN Physicians Bethesda Clinic
10.2006 - 03.2012
  • Responsible for receptionist duties which includes the following: manage incoming phone calls and faxes; open, scan and distribute incoming mail; checking patients in for their Doctors appointment; scheduling future appointments; collecting co-pay; greeting patients; and data entry
  • Managing cash drawer to ensure collected co-pay is accurate
  • Pre-register/Register patients for their Doctors appointment in person or with gather information
  • Collecting health insurance information and enter it into the system
  • Assisting with Financial assistance and application process
  • Submitting patient's billing to 3rd party payer
  • Verify patient's insurance eligibility using MN-ITS website, internet and phone system
  • Healthcare auditing and healthcare investigations to ensure claims are valid
  • Assigned to (3) phone lines; appointment, Hmong speaking only and Hmong overflow line
  • Assist with interpretation as needed with Hmong clients
  • Triaging calls if it is urgent
  • Taking messages for Triage and Doctors
  • Collecting compliance required forms with patients/responsible parties' signatures
  • General administrative work supporting clinic policies, government grants and contracts with State and Federal government
  • Submitting contracts proposals for approval
  • Performing strong communication skills both professionally and verbally on requests and concerns.

Patient Registration Associate

Children's Hospital
01.2003 - 10.2006
  • Pre-register/Register patients for their Doctors appointment in person or with gather information
  • Collect patient's demographic and health insurance information
  • Verify patient's insurance eligibility via insurance website or phone system
  • Submitting Prior Authorizing to patient's insurance company for Speech, Physical and Occupational Therapy
  • Prepare and organize paperwork for various departments
  • Responsible for other duties such as; Reviewing Family Medical Leave Act for employee's leave, includes administering Family Medical Leave Act and Americans With Disabilities Act
  • Knowledge in insurance plans, eligibility, Medical terminology and analyzing medical documentation to employee.

Education

Bachelor of Science in Criminal Justice -

Brown College
12.2014

Skills

  • Windows 95-XP
  • MS Office (Word, Excel, & PowerPoint)
  • 10-Key punch
  • Typing 50 wpm
  • All office equipments (multi-line phone, fax, copy, scan, & print)
  • Bilingual in both English and Hmong
  • Medical Terminology
  • Healthcare insurance
  • Minnesota Criminal Statutes and Codes
  • Other Software: Cerner & Allscript,IDX, Epic, MMIS,MN-ITS,SSIS
  • Email: Meeting maker & Groupwise
  • Zoom

Reference

Available at time of interview or upon request.

Timeline

Financial Case Aide

Hennepin County, Human and Public Services Department
05.2024 - Current

Patient Register/Scheduler

Allina Health
11.2015 - 05.2016

LADC, Technician, RN, Security Assistant

American Indian Community Development Corporation(Detox)- AICDC
07.2014 - 09.2014

Office Specialist 3

Hennepin County, Human and Public Services Department
06.2014 - 05.2024

Health Care Call Center Representative

Department of Human Services
03.2012 - 06.2014

Patient Representative

University of MN Physicians Bethesda Clinic
10.2006 - 03.2012

Patient Registration Associate

Children's Hospital
01.2003 - 10.2006

Bachelor of Science in Criminal Justice -

Brown College

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Gao Ly Vang