1. Maisie Thao
7468 Balfour Way Sacramento, CA 95822
E-Mail: m_thao86@hotmail.com
(916) 802-9885
Objective: To pursue learning and a challenging environment where I can contribute my integrated
backgrounds and continue to grow as a health care professional.
Skills:
• Anatomy & Physiology
• OnBase
• Epic /EMR
• CUBS, WC pricer
• Authorizations
• CMS Claims
Management
• Invision
• HIPAA Compliance
• TRAC
• Medical Terminology
• Caremedic
• Medical Records
• Direct Data Entry (DDE)
Qualification:
• Excellent Customer
Service
• Accurate Data Entry
• Cash Handling
• Office Management
Medical Law & Ethic
• Quick learner
• Excellent time
management skill
• 10 Key 10,500 KSPH
• Bilingual
English/Hmong
• Alphanumeric Filing
• Typing 40+ WPM
Employment History:
Aerotek Sacramento, CA November 2015 – Present
Worker’s Compensation Follow Up for EOS Healthcare
• Pull UB and EOR from prebill editor to review payment and or denials. Price claim on WC pricer and
follow up with Employers, Carriers and Adjuster for claim status.
• Process 1st
claim submission and or SBR (Second Bill Review) to demand payment.
• Follow Worker’s Compensation guide line base on section codes
• Submit appropriate documentation for legal review to demand payment base on account balance
threshold.
USCB America Sacramento, CA October 2014 - November 2015
Insurance Follow up Representative
• Process medical claims with knowledge of Medicare, Medi-Cal, Medi-Cal GMC,
Commercial/Managed Care, and TPL policies and procedure for professional hospital.
• Routinely researches and effectively performs follow-up on unpaid Medicare & Commercial claims
and denials.
• Ability to maintain confidentiality, multi-task, produce quality work and meet deadlines
independently in a fast paced environment.
• Maintain a thorough working knowledge of all aspects of Medicare/Commercial billing &
collections including billing rules, regulations, eligibility, collection practices, electronic billing
processes, UB04/CMS 1500 requirements. Including, but not limited to:
• Medicare Inpatient Claims – AB Rebill, Part A Benefits exhausted, Part B Only Cases,
Appeals.
• Medicare Outpatient Claims – ABN, NCCI, MUE, MSP billing, Overlaps, Appeals, R Stats, T
Stats, Consolidated (SNF/Hospice/ESRD/Home Health) billing, DME billing on CMS 1500.
2. Shriners Hospital Sacramento, CA June 2014 – October 2014
Medical Records Department
• Helping with special project by going through old files of super bills, sort by alphanumeric and
dates. Pulled charts to be submitted for coding and billing.
• Organized incoming patient’s medical history documents by looking up patient’s name and date of
birth in the system to retrieve their medical identification number to log their document and file it
in the patient’s chart.
Referral Department February 2014 – June 2014
• Pull and file new patient’s referral for appointment.
• Create new patient’s file by sorting out the medical history, medical documents and referral.
• Send notice of no show letter to patient to re-schedule appointment.
• Make copies of referral letters
Dealer Track Technologies (formerly FDI) Sacramento, CA December 2006 – October 2014
Service Support Agent
• Follow up on required accounts to ensure that necessary documentation/information is
received in order for vehicle titling paperwork to be processed.
• Process vehicle titles for finance and lease account to complete specific activities such as; state
change, transfer of ownership, correction, addition of subsequent lien and reassignment of titles.
• Respond to correspondence letters from DMV agencies and dealerships.
• Take leadership by performing audit on agents to assure all appropriate documents and titles are
process and sent correctly to avoid any reject or delay.
• Assist team lead by running the daily production report and distribute work to agents
Access Dental Sacramento, CA January 2006 – February 2006
File Clerk
• File patient’s chart by Alphanumeric
• Sort dental x-ray in patients’ chart and/or box all dental records to be sent to storage facility.
• Making sure all patients’ record is pulled and ready for their appointments.
Education:
Asher College, Sacramento, CA Medical Billing & Coding Program Graduated - July 2014
Genesis Charter High School, Sacramento, CA High School Diploma Graduated - June 2004