Janet Hamang
Cary,IL
Summary
- Computer skills include Windows, MS Word, Excel, Word Perfect, Medical Manager, Intergy, Nextgen, Paragon, Mosiaq and Epic, and Meditech
- Devoted professional proactively and quickly identifies best course of action for given scenarios. Confident handling tasks independently and in teams with highly organized approach to work. Strong advocate for those in need and committed to providing best possible service.
- Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
- Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
28
28
years of professional experience
Work History
Savista Support Services Specialist II
Savista
04.2021 - Current
- Create, distribute, maintain, and file various accounting reports and correspondence
- Working at least 66 or more accounts per day.
- Scored weekly with 99% accuracy
- Analyze and interpret accounting documents correspondence, requiring great attention to detail
- Research, resolve and reconcile accounts while utilizing various medical billing systems; this may include live interactions with patients
- Identify trends, determine root cause for discrepancies and provide feedback
- Interact with client and internal departments to ensure proper account handling
- Perform routine tasks or repetitious tasks with care and attention
- Answer incoming client calls / email requests and handle in prompt, courteous and professional manner
- Complete or assist with time sensitive reconciliation reports and projects
- Perform file maintenance for corrections and additions to patient records such as updating account balances, addresses, authorizations, correspondence information, statements, payment plans and account status.
Savista- Financial Counselor Cancer Center
Savista
08.2015 - 03.2021
- Demonstrates a thorough knowledge of health insurance, guidelines, programs and plans; patient assistance programs and co-pay assistance programs, Medicaid, Medicare health plans, COBRA plans and Health Care Reform
- Counsels patients regarding their financial liability, insurance coverage and external financial assistance programs, medical-legal partnership applications for patients and families
- Follow up with assistance and documents
- Work with and assist revenue cycle to make sure claims and errors that are brought to my attention are taken care of and followed through with insurance companies
- Determining patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if procedures covered benefit, if the payer is out of network, and be able to assist the patient who has questions on existing bill or invoice
- Member of the Association of Community Care Centers.
Centegra Outpatient Scheduling
05.2014 - 07.2015
- Maintains professional and courteous manner and provides communication manner consistent with customer satisfaction and service excellence strategies
- Department has set expectations for quality of work and productivity
- Maintains great rapport and is sensitive to needs of others personalizing registration process to provide friendlier patient encounter
- Insures patient confidentiality according to HIPPA
- Interviews patient or patient's representative via telephone to obtain demographic and financial information to initiate patient financial and medical record without creating duplicate medical record number (multiple numbers for same patient)
- Ensures completeness of scripts and confirms medical necessity, to include being fluent in Paragon, Nectar, HPF and Nextgen use
- Actively monitors deficiencies and routinely reports these to leadership
- Schedules and pre-registers patient appointments
- Makes modifications to established patient schedules and registrations.
Centegra Primary Care Billing Department
Centegra
01.2006 - 04.2014
- Worked with Dr
- Halstead's pediatric accounts receivable until accounts were closed
- Responsible for patients questions regarding their accounts
- Identifies and resolves patient billing complaints
- Investigate billing problems
- Bring all unresolved patient complaints to the attention of the Team Leader and Manger
- Updates patients account information, also assisting patients with payments over the phone with credit cards
- Denials from insurance companies and worked on appeals to get claims paid
- Real Med website to electronically submit claims and clean them up to send to the payer
- Calling insurance companies requesting claims to be re-processed and resoling any coding, bundling issue they might have
- Checked on insurance websites for benefits for patients as well as claim status
- Negotiate with vendors to purchase supplies for the offices
- Responsible for understanding coding guidelines
- Able to use CPT, ICD9, and HCPCS manuals
- Able to research to find appropriate code
- Billing insurance's companies electronically and on insurance forms
- Working with secondary insurance companies pulling the primary EOB
- Reducing the AR and working all old accounts to get cleared
- Appeal/Follow up with insurance companies with doctors as being Out of Network
- Sending out appeals for fee schedule, timely filing, or processing our doctors as out of network
- Checking on contract issues with the doctors
- Coding review determination when insurance companies deny payments.
Northern Illinois Pediatric Assoc.
01.2000 - 12.2005
- Managed fellow employees schedules for vacations and personal time off
- Helped purchase a new computer system
- Bill insurance companies using ICD9/10 and CPT
- Audit coding diagnoses and procedures performed
- Verify patients insurance and benefit eligibility
- Phone patients and set up payments for collection accounts
- Created the collection process (Letters, and follow ups)
- Explain insurance benefits to patients and their guardians
- Billing electronically and paper form to insurance companies
- Worked with primary insurance and secondary insurance
- Worked on refunds to insurance companies and to the patients
- Create letters of appeals for the insurance companies
- Attend pediatric billing seminars and classes as part of continuing education
- Post Receivable payments from patients and insurance companies
- Prepare and generate monthly reports for month end
- Evaluate and report to doctors about Management Information System upgrades
- Transcribe letters for the doctors
- Train employees in all aspects of office procedures
- Negotiate with vendors to purchase and maintain office inventory
- Update office policy and procedure manual and communicate changes
- Worked on two systems Medical Manager, and Intergy
- Develop contracts with managed care organizations
- Bill insurance companies using ICD and CPT received and reconciles differences through follow-up with vendors and other employees
- Enters, updates, and/or retrieves accounting data from automated systems
- Developed methods for patient scheduling
- Conduct performance evaluations for staff members.
Kelly Services Temp Agency
01.1998 - 01.2000
- Proof read leases
- Verify credit history
- Update and input key data elements of lease contracts with attention to detail and accuracy
- Trained and help familiarized employees on how to read data codes.
Harris Bank
01.1996 - 01.1998
- Receive cash/checks, and verify account balances and authenticate endorsements
- Determine value of foreign currency and transposed to U.S
- Dollars
- Sold savings bonds, travelers' checks, cashier checks, money orders, and license sticker renewals
- Assisted customers in resolving problems with checking, savings accounts, CD accounts, and money market accounts
- Trained new employees on policies and procedures.
Education
High School Diploma -
Cary Grove High Scool
Cary, IL06.1996
Skills
- Decision Making
- Continuous Improvement
- Follow-up Skills
- Empathy and Compassion
- Problem Solving
- Knowledge Management
- Client Relationship Management
- Training and Development
- Root Cause Analysis
- Process Improvement
- Critical Thinking
- Attention to Detail
- Troubleshooting
- Verbal Communication
Additional Information
1992-1996 Cary Grove High School
Timeline
Savista Support Services Specialist II
Savista
04.2021 - Current
Savista- Financial Counselor Cancer Center
Savista
08.2015 - 03.2021
Centegra Outpatient Scheduling
05.2014 - 07.2015
Centegra Primary Care Billing Department
Centegra
01.2006 - 04.2014
Northern Illinois Pediatric Assoc.
01.2000 - 12.2005
Kelly Services Temp Agency
01.1998 - 01.2000
Harris Bank
01.1996 - 01.1998
High School Diploma -
Cary Grove High Scool
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