Jenny Du
Monterey Park
Summary
Experienced administrative and healthcare billing professional with over 9 years of administrative experience in an office setting, and 5+ years specializing in healthcare billing for AHMC facilities. Proven ability to manage multiple priorities, lead teams, and ensure accuracy in claims processing and billing procedures. Basic proficiency in medical terminology coding (ICD-10, CPT), UB04 forms, and billing procedures, including HMO, MSO, IPA, PPO, and Medicare. Strong communicator and dedicated team player with a keen ability to work independently and meet tight deadlines. Proficient in Microsoft Word, Excel, PowerPoint, and quick to adapt to new systems and software. Seeking a growth-oriented position where I can leverage my experience to make a meaningful contribution.
Overview
15
15
years of professional experience
Work History
Managed Care Lead
Ethos Management
Alhambra
09.2023 - Current
- Assists Managed Care Billing Supervisor in overseeing the daily operations of the billing department. And enforces company and department policies.
- Researches and responds to billing questions from the staff, facility and/or senior management accurately and in a timely manner.
- Monitors daily claim drop per biller/facility, assigns claims to staff as needed.
- Identifies billing and payer trends including denials and incorrect payments to ensure claims are being resolved timely.
- Recommends new approaches, policies, and procedures to effect continual improvements in efficiency of department and services performed.
- Maintains Inpatient vs Outpatient denial log, obtains proper approval and documentation in order to generate corrected claims based on denials management department ruling.
- Reconciles rejections to ensure timely completion and confirms appropriate action taken to resolve rejection. Follow up with billers as necessary.
- Processes agency billing requests. Communications with various departments to obtain correct charging and coding.
- Trains new hires and existing staff when policy and procedure and/or department protocol revisions are made.
- Distribution of weekly billing reports, such as secondary billing, hardcopy billing reconciliation, unbilled claims over thirty days, and additional reports assigned as necessary.
- Acts as support to daily functions when employees are out and/or when additional assistance is needed to complete the Pre-Biller, Billers, and Billing Support workload.
Medicare Biller
Ethos Management
Alhambra
10.2022 - 09.2023
- Maintains a daily minimum of 80 accounts processed per day.
- Provide accurate and timely billings to Medicare.
- Calling Medicare in identifying and solving problems for patient's claims.
- Reviews the daily DNFB reports in CPSI.
- Follow-ups for facilities to submit appeals to Noridian Portal in a timely manner.
- Process encounter data claims to report days for Medicare Part A.
- Review credit balances by correcting and identifying the cause.
- Using the DDE and Noridian portal system effectively.
- Effectively manages time to meet deadlines.
- Responsible for making edits and completing UB04 forms.
- Review communication logs with collectors and respond in a timely effective manner.
- Review rejection logs and follow up in a timely manner.
- Understands traditional Medicare Parts A and B.
- Review variance reports and follow up worklist for underpayment and adjustments/unpaid accounts to complete in a timely effective manner.
- Work in coordination with all team members to ensure operative team work.
Managed Care Biller
Ethos Management
Alhambra
08.2021 - 10.2022
- Processed inpatient and outpatient claims for multiple AHMC facilities.
- Accurately submitted timely billings electronically and paper claims to Medicare, Medi-cal, commercial and managed care payers.
- Maintained current knowledge of CPT, ICD-10, and HCPCS coding standards as well as payer-specific rules.
- Responsible for making edits and completing UB04 forms and sending all necessary information and/or documents to insurance payors.
- Communicated with facilities to resolve billing discrepancies.
- Verified insurance eligibility and authorization requirements before billing.
- Understand N-thrive platform for contracts and be able to apply to billing matters.
Managed Care Pre-biller
Ethos Management
Alhambra
07.2020 - 08.2021
- Maintains a daily of minimum 100 accounts processed per day.
- Mailing, preparation, documentation, and accuracy of data from UB04 forms.
- Ensures required documents are submitted with claims.
- Review Late Charges report, request adjustments, generates corrected claim.
- Utilized Admit Discharge Transfer to request for medical records as needed based on payor requirements.
- Maintains request for medical records from various departments, communicates with the facilities and delivers requested items to appropriate departments in a timely manner.
- Updated Certified Claims logs, saved receipts in shared drive.
- Performs other duties as assigned.
Executive/Administrative Assistant
Treeline Realty
Temple City
06.2011 - 06.2020
- Handle general office duties: filing, scanning, answering phones/emails and all other duties as assigned.
- Reconcile Inventory list, order supplies for the office.
- Responds to tenant needs, ensuring that administrative and building technical staff resolve problems promptly. Ensures that services are provided in compliance with policies, procedures, regulations and contractual obligations and standards.
- Assist in preparing and delivering timely, accurate and complete reports.
- Assist with mailing letters and distributed to the agents.
- Schedule home showings/appointments for meetings for my boss in a timely manner.
- Assist with additional projects as needed.
Education
BA - Business Communication
Devry University
Alhambra, CASkills
- Billing management
- Claims processing
- Medicare regulations
- Coding standards
- Trend analysis
- Problem resolution
References
References are available upon request.
Work Preference
Work Type
Full TimeLocation Preference
HybridSalary Range
$31/hr - $41/hrTimeline
Managed Care Lead
Ethos Management
09.2023 - Current
Medicare Biller
Ethos Management
10.2022 - 09.2023
Managed Care Biller
Ethos Management
08.2021 - 10.2022
Managed Care Pre-biller
Ethos Management
07.2020 - 08.2021
Executive/Administrative Assistant
Treeline Realty
06.2011 - 06.2020
BA - Business Communication
Devry University