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Ginger Botkin

Name : Ginger Botkin
Experience : 16
Specialty : Pathology,Gastroenterology,OB Gyn,
Location : Newhall,CA
Description :

Ginger Botkin 16 yrs Experience EDI/ERA /EFT * 837/835 Data File Management *12 yr Knowledge Laboratory Practice Management Software Systems / Electronic Medical Records * ICD-9/10, CPT ,& HCPCS * NextGen Certified EPM/EHR *16yrs. coding, physician & laboratory revenue cycle experience, 10 yrs. Healthcare Operation Consulting, EMR Configuration *Meaningful Use claim reporting for revenue*Configuration/Implementation *In-depth knowledge of  end-to-end healthcare revenue cycle.


  • Medical Billing/Coding, Revenue Cycle Analysis,FQHC/Rural Clinic and Laboratory Daily Opps, Provider NPI, EDI Credentialing for Facility, Physicians’, and CLIA. Medi-Cal HMO, Specialty programs, CHDP, CCS, FPACT, CDP, and BCCEDP cycle EDI/ERA. Microsoft Word, Excel, Outlook, Lotus Notes, EHCS, Care360, NextGen, Diamond/ HIPPA Compliance. EDI Medical Claims HIPPA Transaction Validation (837i/p, 835, 270, 271, 277, 278) Clearinghouse interaction, ANSI X12 formats, crosswalk mapping X12 and Clinical Claims HIPPA Transactions


  • Manage multiple rural hospitals and clinics thru simultaneous client Go Lives’ demonstrating Meaningful Use by July 2012. Revenue cycle implementation projects; complete revenue cycle assessments; assist with revenue cycle turn around/redesign projects; assisting clients with navigating reimbursement changes consequential to healthcare reform;  metrics  development to better manage revenue cycle functions, Denials Management and Recovery, Patient Accounting/ Financial Services, draft status reports, develop/manage project plans, track issues/risk logs, and provide interim management services.
  • Successful transition from outsourced billing, development of internal claims A/R department. Patient Financial/ Accounting Services, Charge Integrity, and Denial Management. Growth in patient flow 1000 to 5500 encounters monthly, addition of two dental clinics, state and county contracts GR and SSDI , documentation technology requirements, meaningful use of EHR and Care360
  • Medical Insurance Coding &Billing Obtained NCCT National Center for Competency Testing CPI Certified Postsecondary Instructor- Healthcare Administration. Successfully implemented MediSoft v16 program curriculum in multiple campuses. Instructed day & evening courses. Designed and implemented student cross training between medical, RX and dental programs.
  • Reconfiguration of Master Files. Training clinic providers and staff. Create Interdepartmental communications policy and procedures manual. Reconfigure workflow of A/R department for new system Collect, analyze data and report on regulatory activities. Create and maintain monthly administrative reports, departmental, productivity and financials. Ensure strict compliance and adherence of regulatory guidelines of HIPAA. Provider Enrollment contracts. EDI HIPPA Transactions files and submission/validation appeals, denials, payments and A/R. EPM/EMR System interface issue liaison.   
  • Assist in Master Benefit Coverage Matrix Project  Code interpretation and translation in accordance with industry standard coding principles to align all benefit services  AMA/CMS standards. Implemented new clinical review process requiring specialty physicians review all covered benefit services prior to plan finalization for quality assurance.  Assisted initial “Diamond Team” with systems coding projects.  Collect, analyze data and report on regulatory activities.
  • Managed Billing staff of 17.  Interdepartmental training and implementation. Reconfigure workflow of A/R department for new system. Monthly administrative reports, productivity and financials. Adherence to regulatory guidelines HIPAA. Participated in LEAN projects measuring accuracy and efficiency of procedures claims submission, appeals, denials, payment posting, and collections. Monitor statistical reports to identify trends or potential billing/training issues, performance evaluations, dispute resolution, and team motivation. Development and distribution of training manuals A/R Dept.   Collect, analyze data and report on regulatory activities. Preparation bank deposits.  Provider enrollment/credentialing.  New LIS implementation.  Configuration Masterfiles for Seacoast/Surround Lab
  • Medical Practice Management Software Distributor- Sales –Billing – Tech Support – On/Off Site Trainer Responsibilities Billing operations- full cycle claims submission and payments for billing clients. New Client Master File configuration, on and off site training and tech support, provider enrollment for EDI/ERA Claims.  Medicare, Medi-Cal- FFS-FPACT-CPSP, W/C, Private INS, and Managed Care.  Multi-specialty Family Practice, Laboratory, In/Out Pt billing and collections.  Research and development of software applications.  Implementation of systems in physician offices, some hardware set-up and networking. Systems training for Physicians and staff.  Creation custom reports DBRW, FQHC/ Rural and Community Clinic demographic data capture
  • Complete conversion of 3 facility medical group to new computer systems. Ground floor set up of new billing company, including new Internet based software, linking entire medical group to billing office. Implementation and training of new system to clinical staff.  EDI, CMC, and ANSI-837 format claims submission and ERA ANSI-835 payments.  HIPPA Transaction Validation (837i/p, 835, 270, 271, 277, 278) Medicare, Medi-Cal specialty programs, FPACT, HMO, W/C, and Private insurance Past due collections.  Family Practice, Laboratory, and patient statements. Computer network set-up and problem solving
  • Senior Level Medical Billing, Insurance Coding including CPT and ICD-9, Centralized Billing, Medicare, Medicaid, HMO, PPO and W/C.  Account Manager Multi specialty Physicians, OB-GYN, Gastro-Intern, Nuclear Medicine and Pathology.  In/Out pt and professional claims.  A/R reports, claim inquiries, correspondence.  Troubleshoot/resolution, first to be awarded for outstanding Client Services and Client/Patient relationships.  Hands on coaching and developing in supervisory position. Claims Appeals and Customer Service.  Medicare/Medi-Cal, Medicare Part B and Medi-Cal billing CMC, CIFS, Appeals, payment posting, denials, and Provider Enrollment.

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