Ingrid Hudson
Yuba City,CA
Summary
Experienced Medical Billing Specialist with 10+ years of expertise in claims processing, account resolution, and patient billing. Skilled in managing billing cycles, negotiating collections, and ensuring compliance with insurance requirements. Proficient in billing software and payer regulations, with a proven track record of efficiently handling client inquiries, billing tasks, and administrative duties. Familiarity with contracts and other documents impacting billing processes. Known for preparing professional and polished statements and business correspondence. Passionate about resolving discrepancies through meticulous attention to detail and creative problem-solving. Committed to upholding company values through a strong work ethic and unwavering drive.
Overview
11
11
years of professional experience
Work History
Caregiver
IHSS
06.2021 - Current
- Assist with daily living activities and personal hygiene to enhance patient well-being and comfort
- Provide care and companionship to clients, adapting to their diverse mental and physical needs
- Facilitate client mobility and ensure safety during transfers to and from beds and wheelchairs
- Execute household tasks, including meal preparation, laundry, and cleaning, to maintain a hygienic and orderly living space
- Built strong relationships with clients to deliver emotional support and companionship.
Claims Analyst
Centene-Healthnet
06.2022 - 01.2023
- Analyzed and processed a variety of claims, including behavioral health and high dollar amounts, ensuring adherence to policy and contract provisions for payment determination
- Managed both commercial insurance and Medi-Cal accounts, utilizing appropriate codes for claims payment or denial, and redirected claims for correction or appeal as necessary
- Maintained compliance with production and quality benchmarks through effective review and adjustment of claims
Medical Billing Specialist
Elica Health Centers
02.2020 - 06.2022
- Managed patient billing by securing pre-authorizations, verifying bill accuracy, and rectifying any missing information
- Executed daily claims transmission using various billing software, ensuring timely and accurate submissions to insurance companies and patients
- Addressed claim denials by conducting thorough research and modifying submissions to meet payer requirements, enhancing successful processing rates
- Handled patient and insurance company inquiries regarding billing and appeals, and maintained financial records through updates on rate changes and payment tracking
Collections Representative
United Health Group - Optum 360
09.2019 - 01.2020
- Negotiated overdue payment collections and advised on medical claims, ensuring resolution of outstanding inquiries and issues
- Verified insurance benefits and authorizations, reviewed contracts for proper reimbursement, and adjusted accounts to reflect accurate payments
- Collaborated with legal counsel to address and settle complex accounts, and effectively managed denied insurance claims to secure appropriate reimbursements
- Handled 30 outbound and inbound calls daily with goal of collecting owed debt.
Billing and Coding Representative
Elica Health Centers/Pacific Staffing
05.2019 - 09.2019
- Processed and reconciled medical claims, ensuring accurate coding and compliance with commercial and state insurance requirements
- Managed patient account collections, facilitated payment processes, and verified insurance benefits to support financial operations of medical clinics
Business Office Clerk/Biller
Sutter Surgical Hospital
04.2015 - 02.2019
- Managed the entire billing cycle, ensuring accurate claim submission and reconciliation to expedite insurance payments and reduce outstanding balances
- Coordinated with insurance providers to verify prior authorizations and compiled necessary correspondence to secure payment for hospital services
- Liaised with department leads to maintain accurate documentation for claims, contributing to the integrity of revenue cycle management and accounts receivable processes
Patient Benefits Coordinator
North Valley Indian Health Benefits
11.2013 - 04.2015
- Coordinated patient registration and verified insurance eligibility, contributing to the efficient operation of medical and dental services
- Managed communication by directing calls, handling correspondence, and maintaining patient records, ensuring the smooth functioning of departmental workflows
Education
Associate Degree of Applied Science - Network Engineering
California College of Technology
Sacramento02.2003
Diploma - Aerospace Science
Oak Grove High School
San Jose, CA06.1994
Skills
- Customer Service
- Problem Solving
- Research
- Communication
- Medical Billing
- Appeals
- Accounts Receivable
- Cash Handling
- EHR Systems
- Clinical/Hospital Patient Registration
- Verification of Benefits and Eligibility
- Prior Authorizations
- Appointment Scheduling
- Medical equipment operation
- Compassionate care
- First aid and safety
- Medical terminology proficiency
- Payment collection and processing
Timeline
Claims Analyst
Centene-Healthnet
06.2022 - 01.2023
Caregiver
IHSS
06.2021 - Current
Medical Billing Specialist
Elica Health Centers
02.2020 - 06.2022
Collections Representative
United Health Group - Optum 360
09.2019 - 01.2020
Billing and Coding Representative
Elica Health Centers/Pacific Staffing
05.2019 - 09.2019
Business Office Clerk/Biller
Sutter Surgical Hospital
04.2015 - 02.2019
Patient Benefits Coordinator
North Valley Indian Health Benefits
11.2013 - 04.2015
Associate Degree of Applied Science - Network Engineering
California College of Technology
Diploma - Aerospace Science
Oak Grove High School
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