Michelle Wu
Summary
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
2
2
years of professional experience
Work History
Collections Specialist
Confluent Health LLC
Louisville, KY
10.2024 - Current
- Billed claims to payers with timely filing and reviewed denials or underpayments, resolving issues such as incorrect coding, missing certificates of medical necessity or prior authorizations, and/or provider credentialing issues
- Collaborated with the billing, cash postings, and eligibility teams to ensure claims were accurately proceed, payments were posted correctly, and eligibility requirements were fulfilled
- Reviewed patient accounts and Explanation of Benefits (EOBs) to identify outstanding balances including copayments and deductibles
Administrative Assistant
Bornstein Group LLC
Ann Arbor, MI
03.2024 - 10.2024
- Assisted patients with invoice payments and addressed billing inquiries
- Completed accurate insurance data entry and generated eligibility reports to verify patient coverage prior to services
- Managed patient scheduling, phone calls, copays, and referrals
Administrative Assistant
Dr Xinru Qian, MD
New York, NY
05.2024 - 08.2024
- Ensured compliance with healthcare regulations including HIPAA and maintained patient privacy and confidentiality at all times
- Performed eligibility checks and obtained prior authorizations for acupuncture and physical therapy services
- Submitted claims, reconsiderations, and appeals along with medical records to payers, ensuring timely filing and adherence to regulations
Administrative Assistant
Prestige Pediatric Care P.C.
New York, NY
02.2023 - 02.2024
- Assisted with scheduling appointments, answering phone calls, as well as scanning, filing, and faxing documents
- Provided detailed training and guidance to new employees, ensuring they understand policies, procedures, and specific job responsibilities
- Verified patients' insurance coverage, benefits, and eligibility prior to appointments by accessing multiple health insurance portals and contacting insurance companies directly
Education
BBA - Finance
Baruch College Zicklin School of Business
New York, NY08.2024
Some College (No Degree) - Finance
Pennsylvania State University Smeal College of Business
University Park, PASkills
- Microsoft Office
- Medical Terminology
- ICD-10, CPT coding
- Experience working with various payers( Government, Workers Comp, Commercial, Medicaid, Medicare, Invoice)
- Insurance portal (United Healthcare, Availity, Cigna, etc)
- HIPAA
- EMR/EHR Systems
- Explanation of Benefits (EOBs)
- Prior Authorizations
- Eligibility & Benefits
Timeline
Collections Specialist
Confluent Health LLC
10.2024 - Current
Administrative Assistant
Dr Xinru Qian, MD
05.2024 - 08.2024
Administrative Assistant
Bornstein Group LLC
03.2024 - 10.2024
Administrative Assistant
Prestige Pediatric Care P.C.
02.2023 - 02.2024
BBA - Finance
Baruch College Zicklin School of Business
Some College (No Degree) - Finance
Pennsylvania State University Smeal College of Business
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