Rosemary Van

Rosemary Van is a skilled medical biller and coder with around 18 years of relevant experience in the same field. Rosemary wishes to secure a medical biller/coder position where she can utilize her experience.

Skills:

• Rosemary Van is competent CPT and ICD-9 national coding guidelines. She has thorough knowledge about introduction to medical insurance billing, advanced medical insurance billing II, worker comp. medical insurance billing, computerized medical insurance billing, and CPT, and ICD-9 national coding guidelines. Some of her other skills include:
• Strong written & verbal communication skills, computer skills.
• Monitoring/Assessing performance of self, other individuals, or organizations to make improvements or take corrective action
• Organized, responsible & cooperative individual, quick learner
• Bilingual - English & Vietnamese

Experience:
 

Office Manager/ Insurance Adjuster

• Reviews coded patient records to determine whether they are complete, accurate, and follow CPT and ICD-9 national coding guidelines
• Reviews patient medical records to identify medical diagnosis
• Reviews Medicare, Medi-Cal and third party billings to ensure accuracy
• Tracks the status of submitted claims to ensure timely payment
• Reviews clearinghouse reports and other sources of information to resolve denied and rejected claims so that the claims can be resubmitted
• Provides reports to the client with information regarding financial performance during the period
• Provides feedback to the client about opportunities for improvement based on review of rejections and denials
• Answers general questions about reports and suggested improvements
• Responsible for resolving denials and rejections, using an electronic practice management system
• Responsible for posting payments and calculating balances 
• Responsible for inventory management in assigned office
• Processes Insurance document for clients, assisted clients in finding what they need
• Initiate request for payment on premium notices on Medical/ Insurance Billing
• Processing mail, copy, fax, scanning
• Input and update information into the computer
• Trained new employees on guideline of medical billing
• Sending of claims to Cal Optima, Blue Cross, Aetna, Blue Shield, and Orange County
• Reviews claim unpaid from Insurance, Medicare and follow for resubmission

Education:

Professional Certificate:

• Introduction to Medical Insurance Billing
• Advanced Medical Insurance Billing II
• Worker Comp.
• Computerized Medical Insurance Billing
• CPT & ICD-9 national coding guidelines
• Degree in Business Administration
  
• B.A., Management Science Information System & Human Services
  
• Programming: Database, SQL, COBOL, XML, C++, Visual Basic, Java Script, Excel, Access, Word, Power Point. Windows 98, 2000, XP and ME
• Human Services: Introduction to Human Service, Intra-Cultural Socialization patterns, Techniques of social welfare, character& conflict, Human services delivery to communities, child abuse & the human services, practicum seminar & practicum

Specialty:

• Family Medicine