Linda Tran
Wyoming
Summary
Detail-oriented Medical Billing Specialist with strong skills in claims review, denial management, and insurance verification. Proven ability to ensure HIPAA compliance and accurate coding for a different variety of medical billing, Familiar with the start and finish of lifecycle of revenue cycle.
Overview
13
13
years of professional experience
Work History
Infusion Billing Specialist
Infusion Associates
Grand Rapids
09.2022 - Current
- Process and submit accurate claims for infusion therapy services (IVIG, chemotherapy, biologics, hydration, etc.)
- Reviewed patient accounts for errors and discrepancies to ensure timely resolution and accurate billing.
- Processed medical claims using billing software, achieving compliance with payer requirements.
- Verify patient insurance coverage, benefits, and prior authorizations before treatment
- Review physician orders and documentation to ensure correct coding and billing compliance
- Assign appropriate CPT, HCPCS, and ICD-10 codes for infusion services and medications
- Managed charge entry for infusion drugs, supplies, and administration fees to support accurate revenue capture.
- Managed workflows across multiple payer systems to streamline claims processing. involving 15-20 commercial insurances
Billing Specialist
Arbor Circle
Grand Rapids
07.2021 - 08.2022
- Send invoices and account updates to clients.
- Keep an accurate record of client accounts and outstanding balances.
- Receive, sort, and track incoming payments.
- Validate debit accounts to ensure the credibility of payments.
- Bill over 10 medical insurances
- Sent paper claims via fax and mail to ensure timely submission.
- Assisted in preparing financial reports for management review and analysis.
- Communicated with clients regarding payment schedules and outstanding balances.
- Managed all payments processing, invoicing and collections tasks.
Medical Billing Specialist
Trinity Health
Grand Rapids
05.2016 - 12.2021
- Reviewed medical records
- Confirmed insurance information
- Submit and corrected claims
- Manually post insurance payments
- Called insurance companies
- Reviewed denials
- Verified insurance policies such as BCBS, Aetna, Tricare, Medicaid, United Healthcare, Priority Health, etc.
- Reached out to insurance companies to discuss denials or claims that had any errors
- Submitted particularly secondary claims after reviewing if the primary paid or not
- Reviewed primary claims then entered information into secondary claims
- Sent coding denials to coding department via email
- Mailed out paper claims if there was an insurance that only accepted paper claims
- Communicated with various departments via email if needed for refunds or to correct payment positing errors
- Communicated with customer service department if a patient needed to be contacted about eligibility questions
- Contact doctor offices for authorization questions or issues
- Forwarded patient's requests for financial assistance to Financial Specialist
- Faxed documentation to and from insurance companies and/or doctor offices
Patient Services Supervisor
Meddata
Grand Rapids
02.2013 - 09.2015
- Assisted manager with daily tasks
- Took escalated calls/emails
- Handled teams of 6-8 employees
- Applied settlements, took payments via phone
- Confirmed insurance eligibility
- Kept in contact with providers for escalated issues if needed
- Set up weekly meetings for employees
- Handled coaching call meetings
- Monitored live calls
- Reviewed employees ADP making sure punch times are correct
Education
No Degree -
Nursing Administration
Grand Rapids, MI05-2010
High School Diploma -
East Kentwood High School
Grand Rapids, MISkills
- HIPAA compliance
- Claim submission
- CPT knowledge
- Medicare and Medicaid process
- Commercial insurance claims
- Payment posting
- Insurance verification
- Denial management
- Accounts payable
- Insurance billing
- Medical terminology
- Revenue cycle management
Timeline
Infusion Billing Specialist
Infusion Associates
09.2022 - Current
Billing Specialist
Arbor Circle
07.2021 - 08.2022
Medical Billing Specialist
Trinity Health
05.2016 - 12.2021
Patient Services Supervisor
Meddata
02.2013 - 09.2015
No Degree -
Nursing Administration
High School Diploma -
East Kentwood High School