Narin Khounphinith
Sacramento,CA
Summary
Oriented and highly skilled billing specialist with extensive experience in healthcare environments seeking to leverage expertise in hospital billing, account auditing, and insurance follow-up to contribute to the success of Patient Financial Services.
Overview
14
14
years of professional experience
Work History
Office Manager
Mo Tax Services
02.2023 - Current
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained computer and physical filing systems.
- Updated reports, managed accounts, and generated reports for company database.
Claims Team Member
Sutter Shared Services
04.2016 - 02.2023
- Processed clean hospital claims while maintaining high standards of quality and productivity.
- Utilized computer technology to navigate through DDE and other software for eligibility verification and demographic updates.
- Made independent decisions to determine the appropriate course of action in billing accounts.
- Applied knowledge of government and third-party payer program requirements, billing codes, and medical terminology to ensure accurate billing.
- Interpreted contract language to adjust accounts for expected reimbursement.
- Conducted mathematical audits to calculate expected reimbursements and identify underpayments.
- Interpreted payments, correspondence, and denials from insurance companies, agencies, and other departments.
- Composed and utilized spreadsheets for complex reimbursement calculations.
- Leveraged Epic billing and clinical modules to research and adjust accounts.
- Read and interpreted complex billing procedures and follow-up documentation.
- Multi-tasked and set priorities to meet departmental, government program, and private insurance carrier deadlines.
- Maintained efficiency and accuracy under pressure from heavy workloads and frequent interruptions.
- Established professional relationships with departmental personnel, management, and external parties, demonstrating professionalism, tact, and diplomacy.
- Adhered to confidentiality standards and the Code of Conduct and Principles of Community.
- Demonstrated proficiency with Microsoft Excel, Word, Clearinghouse, Contract Management, and Patient Accounting Systems.
- Met production and quality standards consistently.
Insurance Follow Up Representative
EOS Healthcare
09.2015 - 04.2016
- Utilize healthcare systems such as Cirius and nThrive
- Follow up with unpaid Medicare, Medi-Cal, and commercial claims, correct OCE errors on UB04 before submission, handle consolidated billing, bill hospital inpatient and outpatient claims.
Insurance Follow Up Representative
USCB
02.2015 - 09.2015
- Routinely research and effectively perform follow-up on unpaid Medicare and Medi-Cal claims and denials, analyze/prepare over-payment refunds to proper entity, hospital inpatient and outpatient billing, evaluate and respond to all aspects of written billing inquiries from Patient or Insurance payer including: billing insurances, updates invoices, problem solving billing issues and complex Patient complaints
- Utilize systems such as Epic, DDE, Caremedic and Invision.
Secretary
Mayoral Bros
11.2010 - 02.2015
- Answer telephone, take messages, transfer calls to appropriate individuals, arrange meetings and schedule appointments.
Education
Medical Billing and Coding Specialist, Diploma -
MTI College
Sacramento, CA01.2014
Skills
- Billing: Extensive experience in processing and managing hospital billing claims
- Research & Auditing: Strong ability to research account discrepancies and perform detailed audits
- Adjustments: Proficient in adjusting accounts to reflect accurate reimbursements
- Project Management: Capable of managing miscellaneous projects and tasks efficiently
- Interpersonal Skills: Excellent communication and interpersonal skills for effective collaboration
- Technical Proficiency: Skilled in using Epic billing modules, Microsoft Excel, Word, and other relevant software
- Compliance: Adherence to CMS methods, policies, and procedures
- Productivity & Quality: Consistently meets production and quality standards
Timeline
Office Manager
Mo Tax Services
02.2023 - Current
Claims Team Member
Sutter Shared Services
04.2016 - 02.2023
Insurance Follow Up Representative
EOS Healthcare
09.2015 - 04.2016
Insurance Follow Up Representative
USCB
02.2015 - 09.2015
Secretary
Mayoral Bros
11.2010 - 02.2015
Medical Billing and Coding Specialist, Diploma -
MTI College
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