Tshai Xiong
Bonsall
Summary
Dynamic billing and claims professional with extensive experience at Health and Life Organization. Expert in medical billing and insurance verification, I effectively resolved denial claims and educated teams on best practices. Known for meticulous attention to detail and strong communication skills, I consistently enhance operational efficiency and client satisfaction.
Overview
4
4
years of professional experience
Work History
Biller 1
Health and Life Organization
Sacramento
04.2024 - Current
- Processed patient billing claims using electronic health record systems.
- Reviewed and verified insurance eligibility for various health plans.
- Ensured compliance with confidentiality regulations in all billing activities.
- Verified insurance eligibility for patients by calling appropriate parties.
- Reviewed and analyzed denial claims for timely resolution.
- Developed strategies to appeal denied claims effectively.
- Educated team members on denial trends and best practices.
Claims Representative
HelathNet
Rancho Cordova
10.2021 - 07.2023
- Communicated with clients to explain claim processes and answer inquiries.
- Collaborated with medical providers to obtain necessary claim information.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
Education
Associate of Applied Science - Health Information Technology
DeVry University
Chicago, IL05-2025
Skills
- Medical billing
- Claims processing
- Insurance verification
- Electronic health records
- Attention to detail
- Effective communication
Timeline
Biller 1
Health and Life Organization
04.2024 - Current
Claims Representative
HelathNet
10.2021 - 07.2023
Associate of Applied Science - Health Information Technology
DeVry University
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