Rhonda Sue Hainer
Fruita,CO
Summary
Detail-oriented Accounts Receivable and Medical Billing Specialist with a strong focus on processing and reconciling transactions accurately. Ensures timely payments and enhances cash flow through effective claims follow-up and resolution. Proficient in managing databases and generating financial reports to support organizational efficiency.
Overview
31
31
years of professional experience
Work History
Accounts Receivable/Medical Billing Specialist
Hilltop Health Services
11.2015 - 07.2026
- Processed and invoiced medical records requests, ensuring timely and accurate billing.
- Posted insurance remittance advices, facilitating prompt payment processing.
- Conducted insurance follow-ups to resolve outstanding claims.
- Posted payments and followed up on accounts receivable to ensure timely resolution.
- Processing of overpayments to either patient or insurance.
- Reconciled monetary transactions between departments, contributing to accurate financial reporting.
- Maintained database accuracy and generated financial reports to support decision-making.
- Certified Coder/Medical Terminology.
Business Office Assistant
Eagle Ridge of the Grand Valley
12.2014 - 11.2015
- Updated patient demographics and insurance information to ensure accuracy for billing and patient care.
- Insurance follow up for all insurances.
- Obtaining insurance authorizations.
- Posting of insurance remittance advices.
- Conducted collection calls on past due accounts to recover outstanding payments and improve cash flow.
- Maintained accurate records of company operating and trust accounts.
- Maintained databases and prepared reports to support administrative needs and decision-making.
- Certified medical coder specializing in medical terminology.
Medical Billing Specialist/CPC
Rocky Mountain Orthopedic Associates
04.2014 - 12.2014
- Followed up with insurance companies to resolve claims issues and ensure timely payments.
- Performed medical coding using terminology standards.
- Posting of insurance remittance advices.
- Updating of patient demographics and insurance information.
- Processing of overpayments to either patient or insurance.
- Maintained database accuracy and integrity.
- Always current with policies/regulations with different insurance companies/outside agencies.
- Provided customer service support to co-workers, patients, and outside agencies, facilitating communication and problem resolution.
- Managed clerical tasks, including answering phones and directing inquiries to appropriate departments.
Patient Account Specialist/CPC
Vail Summit Orthopedics
04.2009 - 03.2014
- Documented medical codes accurately based on patient records.
- Conducted insurance follow-up across all providers to ensure timely claims processing.
- Payment negotiations with International insurance companies.
- Posting of insurance remittance advices.
- Processing and invoicing of medical records requests.
- Processing of overpayments to either patient or insurance.
- Always current with policies/regulations with different insurance companies/outside agencies.
- Provided customer service support to co-workers, patients, and outside agencies to facilitate effective communication.
Health Care Educator
St. Mary’s Hospital
09.2007 - 10.2008
- Screening, brief intervention, and referral to treatment by a SMH Health Educator, was a comprehensive, integrated, public health program for the delivery of early intervention and treatment services for persons with substance use disorders.
- Primary sites included hospital emergency rooms, trauma centers and med/surgery floors within the healthcare setting, thus providing opportunities for early intervention with at-risk, non-dependent substance users.
- Conducted client assessments and applied motivational interviewing techniques to support individuals in need of intervention.
- Collaborated daily with outside agencies and internal teams to enhance communication and streamline referral processes.
- Contributed to Crisis Support Team and H.E.A.R.T. Committee efforts to improve response strategies for patient care.
- SBIRT Grant with St. Mary’s Hospital
Biller
St. Mary’s Business Office
01.2003 - 09.2007
- Prepared and audited HMO, Medicaid, and Charity billing and secondary billings to ensure accuracy and compliance.
- Managed appeal process for denied claims, facilitating resolution and improving reimbursement outcomes.
- Double checked weekly payment vouchers that have been posted by Cashiers for proper reimbursement to Agency and any patient responsibility to patients.
- Daily contacts with Department of Human Services, State of Colorado and other state agencies, along with out-of-state agencies.
- Compiled statistical reports for Director, providing insights to support decision-making.
- Developed policies to address specific organizational needs.
- Participated in departmental and hospital committees to contribute to decision-making.
Administrative Support
Home Care of the Grand Valley
04.2002 - 01.2003
- Assisted the Director with establishing a new business and managed Home Health Care billing to Medicare, Medicaid, insurance companies, and private pay clients.
- Monthly financial reporting.
- Constructed financial spreadsheets and graphs to track key statistics and inform decision-making.
- Developed brochures and department forms to enhance communication and support for clients.
- Attended seminars and workshops to keep up on Medicare and Medicaid regulations.
- Coordinated safety protocols and procedures to ensure compliance and promote a safe environment.
- Lifeline Coordinator for the Grand Valley. This included installing, servicing, and billing help units for the elderly population.
- Formerly St. Mary’s Home Care
Patient Account Representative
St. Mary’s Home Care
06.1996 - 04.2002
- Home Health Care and Lifeline billing to Medicare, Medicaid, insurance companies and private pay clients.
- Conducted collection letters and calls on past due accounts to improve recovery rates.
- Developed financial spreadsheets and graphs to track key statistics for informed decision-making.
- Daily deposits along with posting of monies coming into the agency.
- Collaborated with Director to write and implement policies and procedures enhancing departmental efficiency.
- Coordinated safety and ergonomics initiatives to promote a safe workplace.
- Participated in multiple committees throughout the Department and the Hospital.
Department Secretary
St. Mary’s Cancer Research
07.1995 - 06.1996
- Managed department budget and coordinated ordering of supplies to ensure resource availability.
- Arranged travel logistics for professors, ensuring timely and efficient travel for research commitments.
- Assisted professors with research projects and administrative tasks. in writing and submitting grant proposals.
- Prepared documents for medical journals explaining the scientific research performed within the Cancer Research Department.
- Supported technicians in laboratory environments.
Education
Associates Degree -
Mesa State College
Grand Junction, CO01-1983
Secretarial Certificate -
Delta-Montrose Vo-Tech
Delta, CO01-1981
Diploma -
Cedaredge High School
Cedaredge, CO01-1980
Skills
- Claims resolution
- Insurance follow-up
- Appeals management
- Billing compliance
- Payment reconciliation
- Medical coding
- Data management
- Financial reporting
- Patient account oversight
Timeline
Accounts Receivable/Medical Billing Specialist
Hilltop Health Services
11.2015 - 07.2026
Business Office Assistant
Eagle Ridge of the Grand Valley
12.2014 - 11.2015
Medical Billing Specialist/CPC
Rocky Mountain Orthopedic Associates
04.2014 - 12.2014
Patient Account Specialist/CPC
Vail Summit Orthopedics
04.2009 - 03.2014
Health Care Educator
St. Mary’s Hospital
09.2007 - 10.2008
Biller
St. Mary’s Business Office
01.2003 - 09.2007
Administrative Support
Home Care of the Grand Valley
04.2002 - 01.2003
Patient Account Representative
St. Mary’s Home Care
06.1996 - 04.2002
Department Secretary
St. Mary’s Cancer Research
07.1995 - 06.1996
Associates Degree -
Mesa State College
Secretarial Certificate -
Delta-Montrose Vo-Tech
Diploma -
Cedaredge High School