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Financial Expert Seeks New Opportunity
1. Objective:
To secure a career in which I can utilize my
excellent communication, customer service,
personal consulting, and financial advisement
skills to assist others while working alongside a
great team.
Education:
Western Career College of Antioch, CA 2009
Santa Barbara City College 2010
Health Information Technology Certificates
with an emphasis in billing and coding
“I am an active, current AHIMA Organization member.
Continuing my education on a regular basis”
Certified Medical Reimbursement
Specialist
With The Follow ing Demonstrated Skill set:
ICD-10 Experienced
Advanced Pivot Tables
Strong Ad Hoc Reporting
Medicare UB Web Strat Pricing
10-Key by Touch and Sight
Medi-Cal COOL Pricing
Claims Adjudication and Reconciliation on
High Dollar Claims
Anatomy and Physiology
Medical Audit Follow-up
HMO, PPO and Work Comp Experienced
HIPAA Compliance Certificate
Implementing Meaningful Use
Contracts and Procedure Writing
Accounting, A/R, A/P, Collections/Follow-
Up
Extensive Knowledge of Billing Procedures
ERN/EOB payer posting
Qualifying and introducing patients to
Flexible Spending Accounts, Setup and
Maintenance
Multiplan Negotiations and Work Comp fee
schedule negotiations
Doctor Credentialing
Theresa Hunter
249 Creektrail Ct. Brentwood CA 94513 925.240.8999
akalia96@hotmail.com
Fluently Known Software
Microsoft Office Professional, Officemate, Emdeon, Capario
BrighTree, IMS, Athena, Stratford, AR Allegiance, Infor,
Office Ally, Practice Fusion, Tapestry AP, Foundations/
Caps, Claims Auditor
Current Position
Kaiser Permanente Claims Examiner-Oakland
Heavy high dollar, urgent, emergent, UB and
Professional claims adjudications, Creating RFI letters.
Applying contract vs. billed rates. Adding case rates
when excluded. Strong attention to Medi-Care claims.
Thirdparty pricing negotiations.
Professional Experience
Genentech 2016-2017
Reimbursement Specialist- S. San Francisco
Investigates patient benefits: Identify network providers,
providers restrictions, co-pays, documents insurance
requirements, pursue product coverage for patients as
authorized, correspond with patients regarding
reimbursement status, maintain payer profiles and
collect/ input data for distributor referrals.
State of CA Public Health (Contracted) 2015-2016
Claims Processor-Point Richmond
Requiredto submit 180 claims per day with Medi-Cal
claims being priority. Heavy data entry andattention to
detail. I am a Medi-Cal first focusedclaims processor.
Ortho Innovations (Unfortunate Closure) 2012-2014
Office Manager- San Ramon
I implementedthe electronic practice management systems
and clearing house. Submittedto hospitals, surgery
centers, insurances andpatients. I postedpayments,
negotiatedfees, heavy Work Compand Medicare billing,
ran same andsimilar, obtainedauthorizations and
collectedpatient payments.
Grove Medical (Independent Contractor) 2012
Billing Department Manager- Alameda
I was privately contractedto fix the billing, manage 2 billing
reps and 4 operations techs while: posting payments,
negotiating out of network pricing, scheduling payment
arrangements, introducing patients to Flexible Spending
Accounts, procedure writing, submittedthe Medicaidas
secondary contract, negotiating fee schedules with
insurance companies, While being accountable for my
team’s task andstreamlining the work flow procedures.
Amerit Consulting Agency 2010-2012
McKesson (Contract)
Pharmaceuticals Billing- San Ramon
Apria Healthcare (Contract)
Revenue Qualifications Specialist- Concord
2.
3. References
Teela Patrick (Professional)
Grove Medical
Email: ambitiousteela@yahoo.com
Business address: 985 Atlantic Ave. #260
Alameda CA 94501
Jessica Lisinac (Professional)
McKesson
Email: jessica.lisinac@mckesson.com
Office: 925.973.0830
Business address: 2420 Camino Ramon Suite 270
San Ramon, CA 94583
Randall Smith (Professional)
Smith’s Services Taxes and Notary Services
Email: randallstaxes@gmail.com
Office: 510.969.4391
Business address: 3996 San Pablo Ave. Ste A
Emeryville, CA 94608
Salaryrequirementsare negotiable.Myrequirementsare
basedon jobduties,title andtravel.
Theresa Hunter
249 Creektrail Ct. Brentwood CA 94513 925.240.8999
akalia96@hotmail.com
Greetings Hiring Personnel,
Please reviewmy enclosedresumefor your availablemedical
financial position. Youwill findthatIam the ideal candidate to
represent leadershipand being a team player inany position
granted by you. I am dedicated to demonstrating the momentum
and self-driveninspirationto master the fieldIchooseto become
a pillarin. Withover10 years of officeadministration,
bookkeeping, correspondence and consumerrelations
experience, I will remainan asset.
I am confident Ican do so, from priorexperience of maintaining
two jobs, multitaskingis secondnaturefor me. I also exhibitthe
ability, drive, anddiligenceto overcomeany challenges set before
me, successfullythroughself-motivation, determinationand
knowledge.
Thank youinadvance fortaking the time to review my attached
resume. I look forward to discussinginfurther detail howmy
prior career choices, work ethics, training, andpersonal traits
make methe bestcandidate foryouravailableposition. Pleasedo
not hesitate to reach meat the abovelistedcontactinformationto
schedulean interviewand negotiate my salary expectations.
Sincerely,
TheresaHunter
Enclosures (1)