Chantha Heng
Long Beach
Summary
Dynamic Patient Account Specialist with extensive experience at Scripps Health Corporation, excelling in medical billing and regulatory compliance. Proven track record in expediting claim resolutions and enhancing team collaboration, contributing to reduced A/R days. Skilled in navigating complex insurance policies while maintaining HIPAA compliance and delivering exceptional patient account management.
Overview
18
18
years of professional experience
Work History
Patient Account Specialist- Hospital Billing
Scripps Health Corporation
08.2019 - Current
- Stay up to date on all billing requirements and changes for all insurance types.
- Electronically submitted bills according to compliance guidelines.
- Respond to all inquiries, billing denials, and all other request in a timely manner. Secure needed documents required or requested by insurances.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Utilized computer programs to create invoices, letters, and other documents.
- Ensured compliance with all applicable laws, regulations, policies governing medical billing practices, and patient privacy by staying current on industry changes.
- Contributed to departmental goals for lowering A/R days by prioritizing accounts based on aging reports, taking appropriate action steps to expedite collections or adjustments as needed.
- Promoted a culture of continuous improvement within the Patient Accounts team by participating in regular staff meetings, offering constructive feedback on department processes, systems, tools for achieving objectives more effectively.
- Collaborated with interdisciplinary teams to optimize billing procedures and ensure timely reimbursements from insurance providers.
Associate Analyst, Provider Configuration
Molina Healthcare
08.2016 - 08.2019
- Maintain department standard for loading of providers demographic data with affiliations and contracts.
- Process Medicaid, Medicare, Market Place claims and knowledgeable in CEMS
- Process interlink/DOFR/FQHC/High dollar claims sent via Supervisor from the health plan/claims department.
- Ensure providers information is loaded accurately to allow proper claim processing, outbound reporting and directory processes.
- Audit loaded providers record for quality, accuracy and provide document feedbacks.
- Validate data to be housed on provider databases and ensure adherence to CA processing guidelines as it pertains to contracting, network management and credentialing.
Account Analyst
United West Labs
04.2008 - 08.2016
- Interacted professionally with clear, intentional communication, and set appropriate expectations on timeline of deliverables.
- Supported Account Manager with incoming inquiries from existing clients.
- Maintained accurate records of all financial transactions, ensuring compliance with relevant regulations and company policies.
- Bill government for Medi-Care and Medicaid and major medical insurance company for Outpatient lab and Workers Compensation
- Enhanced team productivity with efficient communication, delegation, and prioritization of tasks.
- Managed multiple accounts simultaneously while adhering to strict deadlines and maintaining attention to detail.
Head of Billing Department
Continental Medical Center
04.2007 - 04.2008
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Bill for Chiropractor, Orthopedic, Acupuncture, and Internal Medicine.
- Bill for Workers Compensation and Personal Injury.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Education
No Degree - Medical Billing And Coding
New Bridge College
Long Beach, CA04-2007
Skills
- Team collaboration
- HIPAA compliance
- Verbal and written communication
- Medical billing expertise
- Patient account management
- Medical terminology
- Medical billing
- Regulatory compliance
- Healthcare revenue cycle
- Insurance billing
Timeline
Patient Account Specialist- Hospital Billing
Scripps Health Corporation
08.2019 - Current
Associate Analyst, Provider Configuration
Molina Healthcare
08.2016 - 08.2019
Account Analyst
United West Labs
04.2008 - 08.2016
Head of Billing Department
Continental Medical Center
04.2007 - 04.2008
No Degree - Medical Billing And Coding
New Bridge College
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