Dynamic Administrative with extensive experience in customer service and sales. Highly organized professional establishes relationships with customers. Stays calm under pressure.
Overview
4
4
years of professional experience
Work History
Vendor Validation Specialist
Robert Half
07.2024 - 08.2024
Service Provider Validation - Validated the contact information of service providers for the Department of Developmental Services for the state of California. Accomplished that by calling and/or emailing the providers.
Data Management - Confirmed or updated service provider data in the state's database.
Detailed Record Keeping - Maintained detailed notes on the validation status of each assigned vendor.
Issue Escalation - Escalate any issues or challenges encountered during the validation process to management for a timely resolution.
Financial counselor
Sacramento Behavioral Healthcare Hospital
04.2023 - 02.2024
Follow up with counties in California to make sure Medi-Cal payments are made to our facility
Verify insurance with insurance companies
Work reception in the evenings and fill in for main receptionist when necessary
Handle patient medical records and ensure they are handled within HIPAA guidelines
Meet with patients to ensure demographic accuracy and verify insurance
Create appeal letters and send to Medi-Cal counties for partial or fully denied payments.
FC Associate
Amazon
07.2021 - 04.2023
Work in strict compliance with established safety procedures and guidelines
Train new associates, via the Learning Team providing motivation to foster career development
Examine merchandise for damage, inspect and count retail items that they match work orders
Verify counts in merchandise bins to ensure accuracy of merchandise.
Medical Billing Specialist
Dr. Ritchie Wong, MD
04.2020 - 07.2021
Hired directly from medical billing externship due to quality of work and speed in acquiring new skills
Prepared billing statements for patients, ensuring correct diagnostic coding
Reviewed and verified insurance benefits and eligibility with speed and precision
Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims
Determined prior authorizations for medication and outpatient procedures
Accurately posted charges, payments, and adjustments to patient files
Medical records preparation and invoice payment collections.
Education
Associate of Arts - Medical Billing and Coding
MTI College
Sacramento, CA
04.2022
Skills
ICD-10-CM, CPT & HCPCS Coding
Accounting, Economics & Finance
Medical Terminology
Electronic Health Records
Ten Key & Data Entry
Relationship Management
Vendor evaluation
Restocking abilities
Issue Resolution
Professional Highlights
Experience with medical insurance billing procedures and healthcare reimbursement
Use Microsoft Office Applications to executive, maintain, and improve office operations
Demonstrate competence with compliance to HIPAA standards and OSHA guidelines
Highly productive at managing projects and viewed by colleagues as empathetic and professional
Perform fundamental accounting procedures including journalizing transactions, preparing financial statements, and completing bank reconciliations
Client Services Director at Robert Half Japan, Robert Half Management Resources, FMP ConsultingClient Services Director at Robert Half Japan, Robert Half Management Resources, FMP Consulting