Martha Vang
Gresham,OR
Summary
Accomplished Revenue Cycle Specialist with a proven track record at The Oregon Clinic, enhancing healthcare finance through expert claim analysis and efficient patient registration. Skilled in managing records and verifying insurance, I excel in debt collection, achieving a significant reduction in outstanding accounts. My adeptness in both task management and customer service drives operational excellence and client satisfaction.
Overview
20
20
years of professional experience
Work History
Revenue Cycle Specialist/ Insurance Rep
The Oregon Clinci
Portland, OR
01.2023 - Current
- Work in EPIC system
- Verify eligibility (Medicare – Noridian website, Medicaid / Healthcare or Manage Care Plan, All Commercial Health Insurances)
- Add/Rebill - Corrected Claims
- Follow- up on denials using all means necessary (appeal letters, medical records and other supporting documentation, utilization of on-staff clinicians)
Revenue Cycle Specialist/Referral and Authorization
SHRINERS HOSPITAL FOR CHILDRENS
Portland, OR
08.2020 - Current
- Work in SHCIS / Cerner system
- Verify eligibility (commercial and Medicaid - online access with OneHealth, Availity NaviNet, MMIS, and ProviderOne)
- And process authorizations (for Botox, Dysport, Magec Rod, and Baclofen)
- Requesting Referral Insurances from the Primary Care Physician
- Follows up on claim denials and resubmits or appeals as appropriate, investigates billing problems and formulates solutions, researches and resolves unpaid claims in a timely manner
- Reconcile superbills with prebilled
- Outside services / consult referral patient
- Assist with training new staff on departmental specific procedures which includes computer applications
Account Receivable Special / Revenue Cycle
Providence Health & Services
Portland, OR
01.2018 - 07.2020
- Work in EPIC system, Follow-Up on all accounts, Medicaid insurance; Medical Records, Denial database to work denials, Appeal, Authorization and Add/Rebill claims
- Verified insurances and making phone call / website
- Resolved denied claims in a timely manner, initiate contact with patients to obtain correct billing information for denied claims
- Escalate unsolved issues appropriately and recommend solutions to minimize future problems
- Establishes payment arrangements or offers financial assistance, such as charity, Medicaid, government assistance
- Ensure appropriate use of adjustment codes (contractual adjustment, small balance, Medicare Bad Debt, etc)
Medical Billing Specialist
FEATHER RIVER TRIBAL HEALTH
Oroville, CA
07.2014 - 09.2017
- Handles all patient accounts, send and bill charge to Medi-Cal/Medicare, and commercial insurance, submission of electronic claims to clearinghouse
- Post and reconcile insurance and patient payments
- Research and resolve incorrect payments, EOB rejections - processing EOB’s for all billings noted previously and other issues with outstanding accounts
- Verify correct ICD-9 and CPT codes for a variety of specialties (Pain Management, Podiatry, Massage / Acupuncture, rheumatologist), send secondary claims upon processing of primary insurance
- Verification of insurance benefits, coverage and eligibility; Request prior authorizations; provide support to the reception involves answer verified patient insurances, input and scanned patients registration/HIPPA forms (new and updated) and medical releases in the electronic chart
- Scanned in patient reports and documents into patients charts and assigned to the provider clinic and provider information, and rescheduling as required, Provide complete registration and scheduling services for outpatient/clinic services as per registration standards and clinic protocol and collects co-pays
Medical Billing Specialist
ACMHS (Anchorage Community Mental Health Services)
Anchorage, AK
12.2009 - 04.2014
- Handles all clients account, send and Bill charge to Medicaid/Medicare, grant funding sources, and commercial insurance)
- Post Medicaid/Medicare/ SP insurance payment; researching denied claims and generating appeals;
- Verification of insurance benefits, coverage and eligibility; processing EOB’s for all billings noted previously;
- Request Medicaid prior authorizations; reviews client statements with outstanding patient balances for accuracy and preparation of necessary contractual adjustments and bad debts write-offs if necessary
- Provide support to the reception involves answer multi-line phones, transfer calls to correct contact and take messages as appropriate, assist patients with obtaining appointments, clinic and provider information, and rescheduling as required, Provide complete registration and scheduling services for outpatient/clinic services as per registration standards and clinic protocol and collects co-pays
- Skills used patient care, customer service, and task management, knowledge of the Microsoft office suite, as well as proficiency in the programs Nextgen and web navigation
Office Assistant / Shop Manager
Girl Scouts Susitna Council
Anchorage, AK
07.2005 - 12.2009
- Greet visitors, guests and employees
- Answer telephones, direct calls and take messages
- Operate office machines, such as facsimile machines, copy machines and personal computers
- Cashiering, maintaining the cash register
- Follow opening and closing procedures for the in-house store
- Maintain inventory control, including stocking, and ordering products for sale; also includes custom orders
- Process registrations for program event, and group reservations for multiple campsites
- Disseminate information and materials to promote the organization and programs
Education
Health Administration Management -
Portland State University
Portland, Oregon02.2025
Medical Business Administrative -
Butte Community College
Oroville, CA01.2000
General Education -
Oroville High School
Oroville, CA01.1997
Skills
- Healthcare finance
- Analyzing claims
- Patient Registration
- Managing records
- Debt collection procedures
- Verifying insurance
Timeline
Revenue Cycle Specialist/ Insurance Rep
The Oregon Clinci
01.2023 - Current
Revenue Cycle Specialist/Referral and Authorization
SHRINERS HOSPITAL FOR CHILDRENS
08.2020 - Current
Account Receivable Special / Revenue Cycle
Providence Health & Services
01.2018 - 07.2020
Medical Billing Specialist
FEATHER RIVER TRIBAL HEALTH
07.2014 - 09.2017
Medical Billing Specialist
ACMHS (Anchorage Community Mental Health Services)
12.2009 - 04.2014
Office Assistant / Shop Manager
Girl Scouts Susitna Council
07.2005 - 12.2009
Health Administration Management -
Portland State University
Medical Business Administrative -
Butte Community College
General Education -
Oroville High School
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