Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Vanessa French

Brentwood,CA

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

11
11
years of professional experience

Work History

Accounts Representative Credit Specialist

Providence Hospital
NAPA, CA
11.2023 - Current
  • Working HAR's (Hospital Account Records) in Epic to resolve credits
  • This involves doing research on all EOB's and Remits to ensure the insurance companies paid based on the correct coordination of benefits, secondary or per our contract with them
  • Review accounts to ensure if there is correspondence on file requesting a refund
  • If so, we will do a refund check if the insurance company cannot recoup
  • However, if the insurance comany does recoup we will send a PORR letter to have them do so as to avoid double dipping
  • Ensure if there is a possible PLB on file, if there account change from commercial to TPL or Work Comp, meaning a refund or possible PORR letter necessary to correct the credit on the HAR
  • Adding/updating insurance information for patient if necessary
  • This includes updating the COB on file
  • System adjustments, correct the balance on buckets on a HAR
  • Completeing secondary adjustments when secondary pays more than Primary left to patient
  • Contract variance, this includes checking if the insurance paid per out contract and if not doing a contract variance check to see if anything changes
  • If it does, more often than not it will resolve the credit on its own
  • If it does not, we will write off the credit or figure out what the next steps would be to resolve the credit.

Revenue Cycle Specialists II

NUWEST GROUP
ROSEVILLE, CA
12.2020 - 09.2023
  • Billing for Providence Hospital Systems including Kadlec Regional Medical Center, Kadlec Medical Group, Providence Medical Group Northeast, Northwest and Southwest, Swedish Medical Center and Swedish Medical Group
  • Billing out of B4 Health and VMS System Aya, reconciling against payroll spreadsheet workbooks in excel
  • Creating reverse billing workbooks as well external invoices manually through excel
  • Editing/updating rates and wage code information as need in B4 Health and verifying information again Target Recruit/Sales Force to ensure billing data is correct
  • Doing AR for all Providence Health Systems as well
  • Created a wonderful relationship with their Accounts Payable Departments as well as with my contacts directly at the Facilities with sending timely aging reports and communicating on status of invoices or any revisions/corrections needing to be addressed and made
  • Creating aging reports for AR purposes including the reports sent to the Health Systems and for my own tracking and follow up purposes
  • I use NetSuite to export to excel and created these documents
  • I also create a report from NetSuite showing the percentage of invoices paid for every week in the year using a pivot table to ensure I am following up on every invoice possible
  • Uploading all billed invoices to Quickbooks, we moved to NetSuite and now upload all invoices via this new system.

Patient Accounting Billing Specialist

ASANTE HOSPITAL
MEDFORD, OR
09.2019 - 10.2020
  • Asante Hospital has 3 facilities, Rogue Regional, Three Rivers, and Ashland Community Hospitals
  • We work at an off-site location called the Contact Center and do the billing for all 3 facilities
  • Calls insurances to follow up on claim status and obtain payment information, working follow-up and high dollar follow-up work-ques in Epic
  • Apply filters to work-ques to work largest dollar amounts to lowest or work insurances with most outstanding claims to least
  • Worked claim edits such as billing errors, registration errors and the ICN’s to get claims out the door in Epic into CHC to be sent to insurances for processing
  • Fix coverage related issues, verify Patient eligibility online and via phone to update or correct accounts with missing invalid insurance information
  • Process late charges for 1500’s and UB04’s
  • Locate ICN/DCN#’s if need be, when processing late charges
  • Experience with doing some Medicare billing working in DDE and Noridian for verifying eligibility, checking claim status, and verifying if DCN# are correct
  • Working in Change Healthcare, correcting any possible errors, sending back to Charge Capture, Coding, or correct Department for review if necessary
  • Review EOBs on accounts to be sure buckets are posted correctly, will correct contractual adjustments, post contractual adjustments or other possible adjustments, if necessary, past timely, system issue and transfer balance to Self-Pay if balance is Patient responsibility
  • Use report to work Change Healthcare 277/7350 rejections
  • These are claims that were rejected in CHC and never made it out the door
  • I will work the edit to correct the reason for the claim rejecting to be sure the claim transmits to the insurance for processing
  • Answer Patient and insurance phone calls to resolve any billing issues, disputes, update or add insurance billing information
  • Print and/or fax medical records and detailed bills
  • Work out of the following work-ques in Epic: Record Requests, Action Required, Coverage Related, Unattached Eligible Coverage, Late Charges, Commercial Follow-Up and High Dollar Follow-up, 277 Rejection, Billing Error Claim Edits, Registration Error Edits, Missing ICN Edits.

Reimbursement Billing Specialist

ADVANCED RX MANAGEMENT
SAN RAMON, CA
11.2017 - 06.2019
  • Resolves disputed claims by gathering, verifying, and providing additional
  • Information; follows-up on claims, as necessary
  • Works to reduce charge holding, rejections, missing information, and denial reports
  • Works off aging reports that pertain to specific accounts for the doctors
  • Contact insurance carriers regarding payments not yet received or charges that have been denied
  • Submit appeals as necessary by billing either electronically with Jopari through Rx billing or by billing on a HCFA 1500 with using Rx Billing system
  • Performs analysis for disputed/denied claims and provides recommendations for process improvements
  • Maintains frequent phone contact with provider representative, customer service representatives, and case managers
  • Update Patient claim and registration information if necessary, using MD Scripts system
  • Sorts and distributes denials (EOBs/EORs) to the assigned collectors
  • Analyze denial reports (EOBs/EORs) to spot trends; assess opportunities to improve internal workflows
  • Keeping in contact with Sites (Dr
  • Offices) either to inform them of any possible issues or to request medical reports and to request claim or insurance verifications
  • Adheres to professional standards, company policies and procedures, and federal, state, and local laws and regulations
  • Demonstrate a working knowledge of insurance companies' guidelines for claims preparation, billing, and collection
  • Demonstrate and maintain expertise on the practice management software and equipment relevant to physician dispensary
  • Participate in team planning meetings, Meet defined department goals
  • Strong attention to detail, goal oriented
  • Ability to prioritize and manage multiple responsibilities.

Import Specialist

STAT LOGISTICS, LLC.
HAYWARD, CA
06.2015 - 05.2017
  • Handling paperwork and filing of multiple air and ocean import shipments
  • Keeping in contact with customers regarding their imports and invoices
  • Billing import shipments
  • Quoting and routing of FCL, LCL, FTL and LTL shipments
  • Communicating with vendors regarding scheduling deliveries and pickups from the ports and CFS stations
  • Creating shipment profiles for record as well as billing and tracking through Cargo wise
  • Order management through fishbowl and 3PL inventory systems
  • Checking shipments and receiving them into their inventory system
  • ISF filing
  • Experience with NetCHB
  • Returns processing
  • Assisting with warehouse management.

Property Management Receptionist

AMADOR VALLEY PROPERTY MANAGEMENT
DUBLIN, CA
05.2013 - 06.2015
  • Filing
  • Answering phone
  • Checking voicemails
  • Work emails: responding to Vendors/Owners/Tenants
  • Writing work orders
  • Write lease making service requests to Home Warranty Companies
  • Calling Vendors regarding work requests/appointments
  • Contacting Owners and Tenants for any reason
  • Making deposits for monthly rent
  • Emailing Owner's monthly statements
  • Running credit reports
  • Creating new owner/tenant files
  • Organizing owner/tenant files.

Education

Certificate - Dental Assisting

Carrington College California - Sacramento
San Leandro, CA
05-2012

High School Diploma -

Castro Valley High School
Castro Valley, CA
06-2008

Skills

  • Microsoft Excel
  • Microsoft Word
  • Epic
  • Change Healthcare
  • Image Now
  • Rx Billing
  • MD Scripts
  • DDE Medicare System
  • Noridian Portal
  • Target Recruit/Sales Force
  • NetSuite
  • B4 Health
  • Team Player
  • Detail Oriented
  • Excellent Customer Service Skills
  • Great Communication Skills
  • Quick and Eager to Learn
  • Warehouse/Order Management
  • QuickBooks Experience
  • Invoice Processing
  • Goal-Oriented
  • Account Reconciliation

Timeline

Accounts Representative Credit Specialist

Providence Hospital
11.2023 - Current

Revenue Cycle Specialists II

NUWEST GROUP
12.2020 - 09.2023

Patient Accounting Billing Specialist

ASANTE HOSPITAL
09.2019 - 10.2020

Reimbursement Billing Specialist

ADVANCED RX MANAGEMENT
11.2017 - 06.2019

Import Specialist

STAT LOGISTICS, LLC.
06.2015 - 05.2017

Property Management Receptionist

AMADOR VALLEY PROPERTY MANAGEMENT
05.2013 - 06.2015

Certificate - Dental Assisting

Carrington College California - Sacramento

High School Diploma -

Castro Valley High School

Similar Profiles

CREATE PROFILE
Vanessa French