Summary
Overview
Work History
Education
Skills
Timeline
Generic

Michelle Ohanesian

Buena Park

Summary

Achieved industry-leading customer and revenue growth by leveraging top-notch abilities in networking and lead development. Demonstrated success in converting prospects into customers, servicing accounts and maintaining consistent sales levels. Skilled relationship-builder, communicator and multitasker.

Overview

38
38
years of professional experience

Work History

Reauthorization Representative

Kabafusion
Cerritos, CA
12.2023 - Current

● Managed and maintained detailed records of reauthorization processing.

● Conducted follow-up calls for authorization requests,

ensuring timely processing and resolving any issues or delays.

● Maintained detailed records of communication and collaborated

with healthcare providers and insurance companies to expedite approvals.

● Requested and obtained clinical documentation for

authorization requests, ensuring all necessary information was accurately gathered and submitted to support timely approvals.

● Issue copay assistance requests for patients, ensuring timely submission and accuracy of documentation for patients facing

financial hardship.

● Supported in-house financial assistance by assisting patients with completing necessary forms and

documentation.

● Maintained detailed documentation of all tasks and communications, ensuring accurate records for future

reference and compliance purposes.

● Maintain and advise patients as they go through the insurance verification and authorization process.

Medical Billing Representative

Dr Maher Azer/Florence Dialysis Center
Los Alamitos, CA
05.2007 - Current
  • Analyzed market to identify new opportunities and strengthen relationships with hospitals, medical centers and primary provider physicians.
  • Posted and adjusted payments from insurance companies.
  • Precisely evaluated and verified benefits and eligibility.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Determined prior authorizations for medication and outpatient procedures.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Maintained and updated collections tracking spreadsheet to help organize payment information.
  • Managed collections claims for unpaid bills against estates of debtors.
  • Promptly sent out and posted all medical claims.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Reviewed and resolved claim issues captured in TES/CLAIMS edits and clearing house.
  • Collected payments and applied to patient accounts.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Posted payments and collections on regular basis.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.
  • Prepared accounts with past due balances and transferred those cases to collection agency.
  • Liaised between patients, insurance companies and billing office.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Managed billing calendar and scheduled claims for payments.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Orchestrated medical coding, payment posting, accounts receivables and collections.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Set up and maintained new electronic billing system.

Emergency Procedures Instructor

FlightSafety/Boeing
Long Beach, CA
05.2003 - 11.2006
  • Provided immediate and constructive feedback to students individually and as group.
  • Evaluated students' competencies through written assignments and examinations.
  • Conducted clinical simulations and provided feedback for each individual student.
  • Supervised students when administering medications to maintain patient safety.
  • Analyzed clinical settings' effectiveness in helping students achieve course and program outcomes.
  • Assigned students to patients based on students' learning objectives and patient needs.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Demonstrated respect, friendliness and willingness to help wherever needed.

Project Coordinator

FlightSafety/Boeing
Long Beach, CA
06.2002 - 05.2003
  • Kept projects on schedule by managing deadlines and adjusting workflows.
  • Liaised between departments to facilitate communication and keep appropriate parties updated on project developments.
  • Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
  • Built strong relationships with internal and external stakeholders and devised strategies, initiatives and events promoting products and services.
  • Coordinated presentations for customers and project members to detail project scope, progress and results.
  • Tracked hours and expenses to keep project on task and within budgetary parameters.
  • Transitioned projects from estimation and pre-construction phase to well-defined project execution plan.
  • Checked compliance of company safety plan and delivered recommendations to address regulatory issues.
  • Maintained open communication by presenting regular updates on project status to customers.
  • Tracked project and team member performance closely to quickly intervene in mistakes or delays.
  • Obtained needed resources by strategically negotiating with stakeholders and outside suppliers.

Office Assistant

Boeing
Long Beach, CA
02.1998 - 06.2002
  • Completed clerical tasks such as filing, copying and distributing mail.
  • Interacted with customers by phone, email or in-person to provide information.
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
  • Delivered clerical support by handling range of routine and special requirements.
  • Developed correspondence letters, memos and emails.
  • Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs.
  • Coordinated, scheduled and arranged business meetings and travel calendars.
  • Oversaw automated tracking and documentation of data, client correspondence and office operations.
  • Coordinated travel arrangements by booking airfare, hotel and ground transportation.
  • Streamlined processing procedures for various financial and employee documents to improve traceability.
  • Managed multiple projects simultaneously using organizational and analytical skills.
  • Provided ease of access and navigation for important data by compiling, organizing and uploading organizational documents to the database.

Data Entry Operator

McDonnell Douglas Aircraft
Long Beach, CA
09.1988 - 02.1998
  • Completed data entry tasks with accuracy and efficiency.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Entered numerical data into databases with speed and accuracy using 10-key pad.
  • Verified data files prior to entry to maintain high data accuracy.
  • Corrected data entry errors to prevent later issues such as duplication or data degradation.
  • Organized, sorted and checked input data against original documents.
  • Sorted documents and maintained organized filing process.
  • Maintained ongoing communication with relevant departments to confirm accurate data delivery.

Education

High School Diploma -

Norwalk High School
Norwalk, CA
1987

Skills

  • Competitor Knowledge and Analysis
  • Customer Communication
  • Medical Coverage
  • Customer Technical Support
  • Work Prioritization
  • Collaborative Team Work
  • Workplace Safety
  • Payment Method
  • Telephone Support
  • Daily Workflows
  • Project Requirements
  • Data Integrity
  • Billing Procedures

Timeline

Reauthorization Representative

Kabafusion
12.2023 - Current

Medical Billing Representative

Dr Maher Azer/Florence Dialysis Center
05.2007 - Current

Emergency Procedures Instructor

FlightSafety/Boeing
05.2003 - 11.2006

Project Coordinator

FlightSafety/Boeing
06.2002 - 05.2003

Office Assistant

Boeing
02.1998 - 06.2002

Data Entry Operator

McDonnell Douglas Aircraft
09.1988 - 02.1998

High School Diploma -

Norwalk High School
Michelle Ohanesian