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Objective:
To secure a career in which I can utilize my excellent communication, customer service,
personal consulting, and financial advisement skills to assist others while working alongside a
great team.Education:
Western Career College of Antioch, CA 2009
Santa Barbara City College 2010
Health Information Technology Certificates with an emphasis in billing and coding
“I am an active, current AHIMA Organization member. Continuing my education on a regular basis”
Certified Medical Reimbursement Specialist
With The Following Demonstrated Skill set:
ICD-10 Experienced Advanced Pivot Tables Strong Ad Hoc Reporting Strong Knowledge of ICD-10/CPT/HCPCS 10-Key by Touch and Sight Strong Medical Terminology and
Abbreviations Medicare and Medi-Cal Billing: IVR savvy Anatomy and Physiology Creating EMR’s and Medical Records
Scanning HMO, PPO and Work Comp Experienced HIPAA Compliance Certificate Implementing Meaningful Use Contracts and Procedure Writing Accounting, A/R, A/P, Collections/Follow-Up Extensive Knowledge of Billing Procedures ERN/EOB payer posting Qualifying and introducing patients to
Flexible Spending Accounts, Setup and Maintenance
Multiplan Negotiations and Work Comp fee schedule negotiations
Meaningful use experienced Doctor Credentialing
Theresa Hunter249 Creektrail Ct. Brentwood CA 94513 925.240.8999
Fluently Known SoftwareMicrosoft Office Professional, Officemate, Emdeon , Capario Futura, Brightree, IMS, Athena, Stratford, AR Allegiance, Infor, Office Ally, Practice Fusion
Professional ExperienceGenentech Current Reimbursement Specialist- S. San Francisco Investigates patient benefits: Identify network providers, providers restrictions, co-pays, documents insurance requirements, pursue product coverage for patients as authorized, correspond with patients regarding reimbursement status, maintain payor profiles and collect/ input data for distributor referrals. State of CA Public Health (Contractor) 2015-2016 Claims Processor-Point Richmond, CA Required to submit 180 claims per day with Medi-Cal claims being priority. Heavy data entry and attention to detail. I am a Medi-Cal first focused claims processor.
Ortho Innovations (Unfortunate Closure) 2012-2014 Office Manager- San Ramon, CA I implemented the electronic practice management systems and clearing house. Submitted to hospitals, surgery centers, insurances and patients. I posted payments, negotiated fees, heavy Work Comp and Medicare billing, ran same and similar, obtained authorizations and collected patient payments.
Grove Medical (Independent Contractor) 2012Billing Department Manager- Alameda, CA I was privately contracted to fix the billing, manage 2 billing reps and 4 operations techs while: posting payments, negotiating out of network pricing, scheduling payment arrangements, introducing patients to Flexible Spending Accounts, procedure writing, submitted the Medicaid as secondary contract, negotiating fee schedules with insurance companies, While being accountable for my team’s task and streamlining the work flow procedures.
Amerit Consulting Agency 2010-2012McKesson (Contract) Pharmaceuticals Billing- San Ramon, CA Apria Healthcare (Contract) Revenue Qualifications Specialist- Concord, CA
Pacific Pulmonary Services (Dept. Laid off) 2009-2010Reimbursement Rep-Brentwood, CA Project management, insurance verifications, creating EMR’S, data entry, procedure writing, processing refunds and payments to Medicare, A/R and A/P, and preparing the daily boom for our courier company
References
Teela Patrick (Professional)
Grove Medical
Email: [email protected]
Business address: 985 Atlantic Ave. #260
Alameda CA 94501
Jessica Lisinac (Professional)
McKesson
Email: [email protected]
Office: 925.973.0830
Business address: 2420 Camino Ramon Suite 270
San Ramon, CA 94583
Randall Smith (Professional)
Smith’s Services Taxes and Notary Services
Email: [email protected]
Office: 510.969.4391
Business address: 3996 San Pablo Ave. Ste A
Emeryville, CA 94608
Salary requirements are negotiable. My requirements are based on job duties, title and travel.
Theresa Hunter249 Creektrail Ct. Brentwood CA 94513 925.240.8999
Greetings Hiring Personnel,
Please review my enclosed resume for your available medical financial position. You will find that I am the ideal candidate to represent leadership and being a team player in any position granted by you. I am dedicated to demonstrating the momentum and self-driven inspiration to master the field I choose to become a pillar in. With over 10 years of office administration, bookkeeping, correspondence and consumer relations experience, I will remain an asset.
I am confident I can do so, from prior experience of maintaining two jobs, multitasking is second nature for me. I also exhibit the ability, drive, and diligence to overcome any challenges set before me, successfully through self-motivation, determination and knowledge.
Thank you in advance for taking the time to review my attached resume. I look forward to discussing in further detail how my prior career choices, work ethics, training, and personal traits make me the best candidate for your available position. Please do not hesitate to reach me at the above listed contact information to schedule an interview and negotiate my salary expectations.
Sincerely,
Theresa HunterEnclosures (1)
