Summary
Overview
Work History
Education
Skills
References
Certification
Timeline
Generic

MANDY RINGLER

Marsing,ID

Summary

  • Knowledge of procedure codes and ICD-10, eager to learn more.
  • Understanding of claims processing and denials.
  • Enthusiastic about researching complex issues, using critical thinking, and collaborating results and ideas with others.
  • Highly organized and detail oriented professional knowledgeable about healthcare processes, administrative requirements, and procedures for medical billing. Qualified to deal with insurance documentation and electronic EOB's, scheduling, charges, billing processes and procedures, and manage business correspondence, provider credentialing, as well as many others.
  • Proven track record of providing exceptional customer service in fast-paced environments. Offering decision making skills to manage multiple, concurrent tasks. Self-motivated work ethic with ability to perform effectively in independent or team environments.
  • Maintain high-volume medical office environments by efficiently coordinating files, appointments and other patient and provider needs. Proven success with insurance appeals and collection account payments. Efficiently balanced daily and at month end reports. Create an organized environment with expertise in managing provider credentialing and maintaining CAQH. Updated practice and insurance fee schedules whenever necessary.
  • Passionate about mental health, medical billing, patient care, and provider enrollment. Skilled in appointment scheduling, efficient data entry, health records maintenance and insurance billing tasks. Additional strengths include staff communication and digital data input.
  • Proactive professional with excellent time management skills and ability to multi-task while working within deadlines and time constraints. Offering years of hands-on experience in medical operations. Proficient in budgeting, inventory management and merchandising. Disciplined professional committed to advancement of both self and company.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Customer Service Provider

Cambia Health Solutions
07.2021 - Current


  • Research various provider inquiries, such as claims and appeals and uses critical thinking to identify the concern, find solutions, and then put results into action.
  • Answer incoming calls during high volume times with professionalism and eagerness to help.
  • Respond to providers written requests through email, fax, and mail.
  • Collaborates with team on new processes.
  • Compose letters in response to providers.


Housekeeping Manager, Laundry Department Manager

Super 8 Motel
08.2018 - 12.2020
  • Trained and mentored all new personnel to maximize quality of service and performance.
  • Placed orders for housekeeping supplies and guest toiletries.
  • Maintained effective inventory.
  • Communicated repair needs to maintenance staff.
  • Evaluated employee performance and developed improvement plans.
  • Rotated linens in storerooms and replenished when supplies ran low.
  • Coordinated hotel-wide laundry workflow to fulfill hotel guest laundry requests in under 8 hours.
  • Kept employee workloads fair and balanced to achieve objectives while maintaining high job satisfaction.
  • Established and optimized schedules to keep coverage and service in line with expectancy demands.
  • Set and updated weekly work schedules to meet coverage demands by considering multiple factors like planned time-offs and individual employee strengths.
  • Assigned jobs to individual employees by considering factors such as previous training, current abilities, work styles and general knowledge.
  • Assigned housekeeping staff to specific shifts and room blocks based on abilities and daily requirements.

Patient Representative, Credentialing Manager

Arthritis And Osteoporosis Center
09.2016 - 12.2017
  • Scheduled appointments for patients and placed reminder calls 48 hours before office visits.
  • Verified any changes or data updates to patient demographic records and checked insurance information at each appointment.
  • Reviewed and corrected claim errors to facilitate smooth processing.
  • Used Greenway Health/ Intergy Software to schedule appointments.
  • Generated monthly statements to check outstanding balances.
  • Assisted patients in filling out check-in and payment paperwork.
  • Balanced deposits and credit card payments along with Insurance payments though an EHR and posted them.
  • Obtained NPI numbers for providers and facilities, updated existing profiles, and created new CAQH profiles.
  • Enrolled providers with Medicaid, Medicare and private insurance plans.

Business Manager, Credentialing

LIFT Institute
01.2015 - 10.2017
  • Kept abreast of new and developing information in the mental health field by regularly attending professional conferences and workshops.
  • Offered and documented treatment consent forms in patient health records.
  • Collaborated with insurance companies regarding provider enrollment and maintained productive relationships.
  • Maintained consistency with multiple providers schedules.
  • Tracked the progress of all outstanding insurance claims.
  • Coordinated work between multiple departments.
  • Executed and updated provider contracts for the facility in timely and accurate manner.
  • Created and maintained a registration process for patients and providers.
  • Performed practice and provider set-up with medical billing software, Greenway Health/Intergy.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
  • HIPPA compliance checks and maintenance.

Collection Accounts Manager, Billing Agent, Account Rep

Rocky Mountain Medical Services
03.2015 - 09.2016
  • Complete medical billing to both patients and insurance companies for multiple practices.
  • File, scan, and maintain medical records on a daily basis.
  • Use computer programs to access medical records and information while maintaining confidentiality and following HIPAA guidelines.
  • Keep daily logs of financial accounts while maintaining daily balancing.
  • Use automated phone services to check on patient information and insurance claim status.
  • Managed collections claims for unpaid balances on both patient and insurances.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
  • Performed billing and coding procedures for ambulance, emergency room, inpatient and outpatient services.
  • Identified and resolved patient billing and payment issues.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Precisely completed appropriate claims paperwork, documentation and system entry. Entered patient charges and performed daily billing of the charges.
  • Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge of ICD 10.
  • Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Diligently filed and followed up on third party claims.
  • Prepared patient charts, pre-admissions and consent forms as necessary.
  • Balanced monthly general ledger accounts to accurately record cost and month end accruals.
  • Updated operational records or licensing information using computer terminals.
  • Stayed up-to-date on rules and regulations regarding licensing requirements.

Owner and Provider

Ringler Childcare
01.2002 - 01.2014
  • Created an educational program, a working business plan, and an office system for business management for a Licensed Childcare.
  • Fulfill both short- and long-term goals in designing and setting routines, structure, filing system, communications with parents, families, and other professionals, performed daily office management of a business and record keeping.
  • Effectively and patiently taught students of varied academic/age levels (Birth- Grade 3) and diverse cultural backgrounds.
  • Use computer programs to maintain financial records for the business.
  • Managed day-to-day business operations, including accounting, finance, HR, marketing and public relations.
  • Set, enforced and optimized internal policies to maintain efficiency and responsiveness to demands.

Education

Medical Billing And Coding Specialist - Medical Billing And Coding

Penn Foster Career School
Scranton, PA
12-2024

Bachelor of Arts - Education

Kendall College
Chicago, IL
05.2013

Associate of Arts - Special Ed, Business Management

Northwest College
Powell, WY
05.2000

Skills

  • Business management
  • Contract analysis
  • Customer satisfaction
  • Documentation processing and responding
  • Financial analysis
  • Medical billing and coding
  • Knowledgeable in medical terminology
  • Office management
  • Policies and Procedures
  • Meticulous attention to detail
  • Detailed progress reports
  • Critical Thinking
  • Consistently dependable
  • Credentialing
  • CMS Policy
  • Conducting thorough research

References

Tawsha Jones; 

Supervisor

Tawsha.Jones@regence.com

800-543-8848 ext. 4229

Johanna Rodriguez Kime; 

Co-worker, Provider Customer Service

Johanna.RodriguezKime@regence.com

800-543-8848 ext. 4833

Brittani Santiago; 

Supervisor

Brittani.Santiago@regence.com

800-543-8848 ext. 4886

Certification

  • CPC -A - Certified Professional Coder - Apprentice
  • CBCS - Certified Billing and Coding Specialist


Timeline

Customer Service Provider

Cambia Health Solutions
07.2021 - Current

Housekeeping Manager, Laundry Department Manager

Super 8 Motel
08.2018 - 12.2020

Patient Representative, Credentialing Manager

Arthritis And Osteoporosis Center
09.2016 - 12.2017

Collection Accounts Manager, Billing Agent, Account Rep

Rocky Mountain Medical Services
03.2015 - 09.2016

Business Manager, Credentialing

LIFT Institute
01.2015 - 10.2017

Owner and Provider

Ringler Childcare
01.2002 - 01.2014

Medical Billing And Coding Specialist - Medical Billing And Coding

Penn Foster Career School

Bachelor of Arts - Education

Kendall College

Associate of Arts - Special Ed, Business Management

Northwest College