Mimie Lord-Simmalavong
San Diego,USA
Summary
Detail oriented and organized professional with over 15 years of experience in healthcare billing, medical office clerk, and customer service. Eager to further career in healthcare. Ability to multitask, work in a fast-paced environment, and thrive as a collaborative team member.
Overview
16
16
years of professional experience
Work History
Patient Service Representative
Scripps Healthcare
San Diego, USA
12.2022 - Current
- Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions
- Patient identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed
- Managed and schedule appointments for the Weight Management & General Surgery referrals in the work queues
- Manage a high volume of inbound/outbound calls between 2 clinics; Actively listen to patients and deliver effective solutions to address their concerns
Clinic Clerk II
Staffworks-Kaiser Permanente
San Diego, USA
04.2022 - 11.2022
- Processed, scheduled, and coded referrals for physical, occupational, and speech therapy services
- Completed data entry and documentation of written questionnaires and visit forms
- Answered telephone calls and triaged to appropriate provider or care coordinator
Customer Service Representative
Reotemp Instruments Corporation
San Diego, USA
12.2015 - 03.2022
- Obtained orders by verifying prices, confirming part numbers, and checking inventory status
- Responded to and followed up on customer questions about products and provided effective solutions to resolve service, account, or technical issues.
Healthcare Billing Specialist
LabCorp of America
San Diego, USA
12.2009 - 08.2012
- Data entry on ICD-9/10 coding and billing for HMO, PPO and third-party insurances
- Built strong relationships with insurance companies, providers, and patients to facilitate claims processing
- Followed up on billing errors, past-due accounts, unpaid and denied claims
Education
Certified Medical Assistant -
United Education Institute
San Diego, CA11.2005
High School Diploma -
Cornerstone Christian Correspondence
Townsend, GA03.2005
Skills
- EPIC, CRM, SAP, ERM Software
- Excellent communication skills
- OSHA compliance
- Medicare compliance
- HIPAA compliance
- Basic medical coding
- Basic medical terminology
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
Timeline
Patient Service Representative
Scripps Healthcare
12.2022 - Current
Clinic Clerk II
Staffworks-Kaiser Permanente
04.2022 - 11.2022
Customer Service Representative
Reotemp Instruments Corporation
12.2015 - 03.2022
Healthcare Billing Specialist
LabCorp of America
12.2009 - 08.2012
Certified Medical Assistant -
United Education Institute
High School Diploma -
Cornerstone Christian Correspondence