Wutyee Maung
New York,NY
Summary
Highly organized and detail-oriented Medical Billing professional with years of experience in claims submission, denials management, and customer service within the healthcare sector. Proven ability to handle high-volume claims, ensure accuracy in billing practices, and navigate insurance protocols efficiently. Fluent in English and Burmese, with strong interpersonal skills, I excel in collaborating with clients, insurance providers, and healthcare teams to ensure maximum reimbursement and compliance with healthcare regulations.
Overview
7
7
years of professional experience
Work History
Claim Scrubbing Supervisor
The Dermatology Specialists
09.2024 - Current
- Lead a team responsible for reviewing and submitting high-volume claims, ensuring 98% accuracy and adherence to payer guidelines
- Coordinate with other departments to streamline workflows and improve the efficiency of the claim submission process
- Investigate and resolve denied claims, filing timely appeals to maximize reimbursements
- Maintain clear and timely communication with payers and patients regarding insurance coverage, claims, and billing inquiries
Medical Billing Assistant
03.2020 - 09.2024
- Verified patient insurance eligibility and created accurate claims for pathology services across 20 facilities in New York
- Ensured all documentation and information was complete prior to submission, reducing claim rejections
- Monitored outstanding claims and conducted follow-ups to resolve issues with insurance companies
- Reduced claim submission errors by 20% by implementing a double-check system and automating parts of the billing process, cutting rejections and resubmissions
Head Cashier
Key Food Supermarket
05.2018 - 02.2020
- Managed daily operations, supervised staff, and provided on-the-job training to new employees
- Ensured accurate transaction processing and assisted customers in resolving complaints
Education
Medical Billing Specialist Certification -
LaGuardia Community College
Queens, NY04.2020
Bachelor of Arts -
University of Yangon
Yangon, Myanmar01.1996
Skills
- Medical Billing & Coding
- ICD-10
- CPT
- CMS-1500
- UB40
- Insurance Verification
- Prior Authorization
- Claims Processing
- Revenue Cycle Management
- Denials Reduction
- HIPAA
- Schedule development
- Healthcare Regulations
- Microsoft Office Suite
- Excel
- Word
- Outlook
- Client Communication
- Insurance Communication
- Customer Service
- Claims Auditing
- Reporting
Timeline
Claim Scrubbing Supervisor
The Dermatology Specialists
09.2024 - Current
Medical Billing Assistant
03.2020 - 09.2024
Head Cashier
Key Food Supermarket
05.2018 - 02.2020
Medical Billing Specialist Certification -
LaGuardia Community College
Bachelor of Arts -
University of Yangon
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