Hi, I’m
Ka Vang
Eden Prairie,MN
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
10
years of professional experience
Work History
Coram, CVS Health
Billing Representative
06.2018 - Current
Job overview
- Researches and resolves billing inconsistencies and errors through individual and collaborative analysis.
- Contact insurance providers to verify insurance information and obtain billing authorization.
- Collaborates with other departments to resolve any outstanding billing issues quickly.
- Completes billing audits in identified timeframes to report and investigate findings.
- Analyzes account history to identify trends or irregularities in billing processes.
- Works with colleagues and leadership to identify and develop process improvements.
- Assist with training colleagues and new colleagues on proper billing procedures and protocols.
- Adhered to all applicable laws, regulations, and standards pertaining to billing practices.
LTCGWoodbury, MN
Claims Intake Specialist
08.2016 - 06.2018
Job overview
- Tracked all incoming claims using established tracking systems (CAS - Claims Administration Services) and updated status reports regularly.
- Processed new claims according to established procedures, including data entry into the system, verifying coverage eligibility, and ensuring compliance with applicable regulations.
- Reviewed history records to determine benefit eligibility for services.
- Built rapport and trust with injured insureds through effective customer service techniques which involved fair and prompt processing of claims.
- Answered phone calls from customers inquiring about their pending claims or requesting additional information.
- Resolved discrepancies with customers by providing accurate information and responding to inquiries in a timely manner.
Supportive Home Healthcare, INC.Saint Paul, MN
Personal Care Assistant
08.2013 - 06.2017
Job overview
- Reviewed and followed care needs assessment, plan of care.
- Assisted clients with activities of daily living such as bathing, dressing, grooming and toileting.
- Performed housekeeping duties including laundry, vacuuming, dusting, mopping floors and changing bed linens.
- Ensured safety of patients by monitoring environment and responding promptly to any emergency situations that may arise.
- Researched community resources available for additional assistance or services if needed.
- Assessed changes in condition or behavior of the client which may require further medical attention.
- Reported any observed changes in mental status or physical condition to supervisor immediately.
1st Choice PediatricsMinne, MN
Billing & Reimbursement Specialist/Internship Student
10.2016 - 10.2016
Job overview
- Reviewed care plans to adjudicate home care services claims to Medicare and Medicaid for reimbursements, achieved 98% accuracy
- Advised supervisors and clinicians of billing deficiencies to support charge capture.
- Maintained confidentiality and integrity of patient data.
- Supported payroll functions by confirming staffs’ time logs and services rendered.
Roberthalf Office Team, LTCGWoodbury, MN
Claims Support Specialist
04.2016 - 08.2016
Job overview
- Reviewed, followed up claims utilizing CAS – Claims Administrative Services
- Reviewed and processed incoming claims for accuracy, completeness, and compliance with applicable regulations.
- Maintained detailed records of all insurance claims activities in accordance with company policies.
- Adhered to established protocols when conducting research into historical claims data.
Aerotek: Recruiting & Staffing, Prime TherapeuticsMendota Heights, MN
Clinical Review Technician
01.2016 - 04.2016
Job overview
- Utilized Clinical Review Engine and RxCLAIM systems to complete prescription adjudications and assigned work queues, such as assigned geographic regions
- Reviewed and adjudicated prescription drug claims requiring prior authorizations and additional clinical documentation for Medicare beneficiaries (Medicare Part B & Medicare Part D)
- Communicated effectively and attentively with internal and external staffs to escalate and resolve complex claims.
Univerisity of Minnesota PhysiciansMinneapolis, MN
Transcription Student Worker
06.2015 - 11.2015
Job overview
- Served as a liaison between health departments and referrals by processing and forwarding medical correspondences
- Presented exceptional organization and attention to detail skills regarding various types of medical correspondences forms and required documentation attachments.
- Followed instructions from management to complete tasks according to exact specifications.
Bethesda HospitalSaint Paul, MN
Social Worker Services & Gift Shop Volunteer
09.2014 - 08.2015
Job overview
- Filed paper-based medical records, sent follow-up letters, and checked emails and responds
- Organized medical forms and packets for social workers and patients (dementia; Alzheimer’s disease, vascular, Lewy Body, and frontotemporal)
- Multi-tasked working on projects, open and close gift shop.
Education
Saint Mary’s University of Minnesota, Minneapolis, MN
Bachelor of Science from Healthcare Management & Public Health
08.2022
University Overview
- Additional Coursework in Cultural Competency for Health and Human Services
- Additional Coursework in Health Policy & Ethics
- Additional Coursework in Quality and Performance Improvement
- Additional Coursework in Community & Behavior Health
- Additional Coursework in Introduction to Public Health Program Planning & Development
- Additional Coursework in Introduction to Public Health Implementation & Evaluation
Saint Paul College - A Community And Technical College, Saint Paul, MN
Associate of Applied Science from Health Information Technology
12.2016
Skills
- Maintain high statistical accuracy
- Records management
- Advocacy
- Problem-solving
- Experience working with geriatric special needs, behavioral health and disable population
- Research and Due Diligence
- Eligibility Determination
- Critical Thinking
- Experience onboarding new hires
- Insurance/NCPDP Billing, Salesforce, CE2000, EPIC Resolute
- Bilingual, native in Hmong and fluent in English
References
References available upon request.
Timeline
Billing Representative
Coram, CVS Health
06.2018 - Current
Billing & Reimbursement Specialist/Internship Student
1st Choice Pediatrics
10.2016 - 10.2016
Claims Intake Specialist
LTCG
08.2016 - 06.2018
Claims Support Specialist
Roberthalf Office Team, LTCG
04.2016 - 08.2016
Clinical Review Technician
Aerotek: Recruiting & Staffing, Prime Therapeutics
01.2016 - 04.2016
Transcription Student Worker
Univerisity of Minnesota Physicians
06.2015 - 11.2015
Social Worker Services & Gift Shop Volunteer
Bethesda Hospital
09.2014 - 08.2015
Personal Care Assistant
Supportive Home Healthcare, INC.
08.2013 - 06.2017
Saint Mary’s University of Minnesota
Bachelor of Science from Healthcare Management & Public Health
Saint Paul College - A Community And Technical College
Associate of Applied Science from Health Information Technology
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