2Heather Hampton12991 Huffman Road

Parma Heights, Ohio 44130(440) 742-0355

hhamp77@gmail.com

Objective: To successfully use my work experience and education in an environment that will allow me to grow and add value to the company.

Experience: March 2015 – Present Quadax Inc. Middleburg Hts., Ohio Insurance Staff Follow Up / Patient Billing Supervisor

-Oversee Insurance Staff Follow Up and Patient Billing Departments for four different clients-Review and submit claims based on payer guidelines and compliance with billing procedures-Assist department in meeting monthly production goals-Perform monthly and quarterly quality audits to ensure that compliance requirements are met-Participate in weekly meetings / calls with clients and departments to identify and report any claim discrepancies-Assist staff in claim follow up calls regarding denials, prior authorizations, appeals and contractual requirements-Perform yearly reviews for staff-Responsible for training new staff members-Indexing/backscanning with OnBase software

August 2014 – March 2015 Nesco Resource Middleburg Hts., Ohio Claims Specialist

-Processed new claims efficiently and accurately-Acted as liaison between injured workers, healthcare providers

and attorneys-Participate in BWC hearings on behalf of the employer-Participated in monthly claim review meetings with employers and providers to discuss and implement improvements to claim processing-Provide safety information for 80+ locations

August 2013-August 2014 Rx21, LLC Rocky River, Ohio Medicare Biller/Patient Care Advocate -Process and post payments to all insurance carriers, including Medicare -Review and follow up on all Medicare denials -Answer incoming calls from patients and providers -Collecting personal and insurance information to maintain patient records -Contact all insurance companies to determine eligibility and copays

April 2007 - May 2013 Medical Administrators, Inc. Westlake, Ohio Lead Account Supervisor/Customer Service

-Entering / auditing incoming hard copy and/or electronic bills from providers including group providers, DME suppliers and several hospital facilities-Review all claims that require prior authorization, correct ICD9

and HCPC codes-Process and post payments to all workers’ compensation providers-Responsible for training new employees and answering billing

questions from other departments -Answering incoming calls and emails regarding BWC claims

from injured workers, attorneys, employers and physicians

Education: Sept. 1996-May 1999 Cuyahoga Community College Parma, Oh A.A., Associates of Liberal Arts Degree

Sept. 1992-June 1996 Valley Forge High School Parma, Oh High School Diploma, College Preparatory

Additional Skills: -Experience including ICD9 codes and HCPC codes including status of claims and prior authorization

-Experience in Self Pay claims as well as several different insurance companies/coverage -Literate in high volume data processing, including workers’

compensation claims and medical billing -Ability to type 45+ wpm -Fluent in Microsoft Office Applications -Extensive computer training / skills -High volume call switchboard operation

***References available upon request