SlideShare une entreprise Scribd logo
1  sur  2
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.
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

Contenu connexe

Tendances

Tendances (19)

PIERCE_CARLA_Resume_
PIERCE_CARLA_Resume_PIERCE_CARLA_Resume_
PIERCE_CARLA_Resume_
 
Carol Rodriguez_Resume
Carol Rodriguez_ResumeCarol Rodriguez_Resume
Carol Rodriguez_Resume
 
Colleen O
Colleen OColleen O
Colleen O
 
Cheri's resume 2016-1B
Cheri's resume 2016-1BCheri's resume 2016-1B
Cheri's resume 2016-1B
 
Lawrence wilkerson resume 2015 part 6
Lawrence wilkerson resume 2015 part 6Lawrence wilkerson resume 2015 part 6
Lawrence wilkerson resume 2015 part 6
 
needsmustgo
needsmustgoneedsmustgo
needsmustgo
 
Megan Thielbar 2015 Resume
Megan Thielbar 2015 ResumeMegan Thielbar 2015 Resume
Megan Thielbar 2015 Resume
 
Diana-Juarez
Diana-JuarezDiana-Juarez
Diana-Juarez
 
Letis resume
Letis resumeLetis resume
Letis resume
 
TravisAnderson 11.2014 (1)
TravisAnderson 11.2014 (1)TravisAnderson 11.2014 (1)
TravisAnderson 11.2014 (1)
 
Lee Brooks Resume 1 (2)
Lee Brooks Resume 1 (2)Lee Brooks Resume 1 (2)
Lee Brooks Resume 1 (2)
 
Resume
ResumeResume
Resume
 
JLMurray Resume Vov 2016
JLMurray Resume Vov 2016JLMurray Resume Vov 2016
JLMurray Resume Vov 2016
 
Updated resume Hope
Updated resume HopeUpdated resume Hope
Updated resume Hope
 
Mai Lee (Misty) Yang Resume
Mai Lee (Misty) Yang ResumeMai Lee (Misty) Yang Resume
Mai Lee (Misty) Yang Resume
 
JACQUELINE MCELROY 1-31-16
JACQUELINE MCELROY 1-31-16JACQUELINE MCELROY 1-31-16
JACQUELINE MCELROY 1-31-16
 
MeleyaNilesResume.doc
MeleyaNilesResume.docMeleyaNilesResume.doc
MeleyaNilesResume.doc
 
598251 Rose Resume
598251 Rose Resume598251 Rose Resume
598251 Rose Resume
 
ROMONA_Dillard_resume11
ROMONA_Dillard_resume11ROMONA_Dillard_resume11
ROMONA_Dillard_resume11
 

En vedette

Degree Certificate
Degree CertificateDegree Certificate
Degree CertificateShazad Khan
 
Press klipping AS Centar 01 decembar 2015
Press klipping AS Centar 01 decembar 2015Press klipping AS Centar 01 decembar 2015
Press klipping AS Centar 01 decembar 2015AS Centar
 
Original_draft_file
Original_draft_fileOriginal_draft_file
Original_draft_fileSS Free
 
Bridge Conference Certificate
Bridge Conference CertificateBridge Conference Certificate
Bridge Conference CertificateRebecca Ambrose
 
Agile tour2013 Vietnam Millenia Generation
Agile tour2013 Vietnam Millenia GenerationAgile tour2013 Vietnam Millenia Generation
Agile tour2013 Vietnam Millenia GenerationAlexandre Cuva
 
Tankerületi informatika verseny 2015
Tankerületi informatika verseny 2015Tankerületi informatika verseny 2015
Tankerületi informatika verseny 2015Benedekné Hajnalka
 
Thakur Satyapal Singh
Thakur Satyapal SinghThakur Satyapal Singh
Thakur Satyapal SinghOm Verma
 
Presentation 1 final
Presentation 1 finalPresentation 1 final
Presentation 1 finalPickUsUp
 
Administrative Assistant
Administrative AssistantAdministrative Assistant
Administrative AssistantFrancesca Wood
 
La porota
La porotaLa porota
La porotavalitah
 
Job announcement Operational Effectiveness HR Lead / Subject Matter Expert U...
Job announcement  Operational Effectiveness HR Lead / Subject Matter Expert U...Job announcement  Operational Effectiveness HR Lead / Subject Matter Expert U...
Job announcement Operational Effectiveness HR Lead / Subject Matter Expert U...Justin Fiske
 
Pedido Nucleoelectrica S.A.
Pedido Nucleoelectrica S.A.Pedido Nucleoelectrica S.A.
Pedido Nucleoelectrica S.A.Laura Alonso
 

En vedette (20)

Creating a logo
Creating a logoCreating a logo
Creating a logo
 
Degree Certificate
Degree CertificateDegree Certificate
Degree Certificate
 
Press klipping AS Centar 01 decembar 2015
Press klipping AS Centar 01 decembar 2015Press klipping AS Centar 01 decembar 2015
Press klipping AS Centar 01 decembar 2015
 
Original_draft_file
Original_draft_fileOriginal_draft_file
Original_draft_file
 
Bridge Conference Certificate
Bridge Conference CertificateBridge Conference Certificate
Bridge Conference Certificate
 
Agile tour2013 Vietnam Millenia Generation
Agile tour2013 Vietnam Millenia GenerationAgile tour2013 Vietnam Millenia Generation
Agile tour2013 Vietnam Millenia Generation
 
Heroin
HeroinHeroin
Heroin
 
Tâche 4
Tâche 4Tâche 4
Tâche 4
 
Tankerületi informatika verseny 2015
Tankerületi informatika verseny 2015Tankerületi informatika verseny 2015
Tankerületi informatika verseny 2015
 
Thakur Satyapal Singh
Thakur Satyapal SinghThakur Satyapal Singh
Thakur Satyapal Singh
 
Presentation 1 final
Presentation 1 finalPresentation 1 final
Presentation 1 final
 
Administrative Assistant
Administrative AssistantAdministrative Assistant
Administrative Assistant
 
Course Map Oil & Gas
Course Map Oil & GasCourse Map Oil & Gas
Course Map Oil & Gas
 
La porota
La porotaLa porota
La porota
 
第二組Ppt
第二組Ppt第二組Ppt
第二組Ppt
 
M Webb Reference
M Webb ReferenceM Webb Reference
M Webb Reference
 
Job announcement Operational Effectiveness HR Lead / Subject Matter Expert U...
Job announcement  Operational Effectiveness HR Lead / Subject Matter Expert U...Job announcement  Operational Effectiveness HR Lead / Subject Matter Expert U...
Job announcement Operational Effectiveness HR Lead / Subject Matter Expert U...
 
El mundo fue creado por Jesed.
El mundo fue creado por Jesed.El mundo fue creado por Jesed.
El mundo fue creado por Jesed.
 
Pedido Nucleoelectrica S.A.
Pedido Nucleoelectrica S.A.Pedido Nucleoelectrica S.A.
Pedido Nucleoelectrica S.A.
 
Bliss 042015
Bliss 042015Bliss 042015
Bliss 042015
 

Similaire à Thao, Maisie

Similaire à Thao, Maisie (20)

Christina Kovalcik Resume 1
Christina Kovalcik Resume 1Christina Kovalcik Resume 1
Christina Kovalcik Resume 1
 
Evelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn_Torio_Resume
Evelyn_Torio_Resume
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
 
jackie resume update
jackie resume updatejackie resume update
jackie resume update
 
MAGEELA RESUME
MAGEELA RESUMEMAGEELA RESUME
MAGEELA RESUME
 
Cassie Resume 2015
Cassie Resume 2015Cassie Resume 2015
Cassie Resume 2015
 
Rosemary-Moreno.pdf.hkz2aln
Rosemary-Moreno.pdf.hkz2alnRosemary-Moreno.pdf.hkz2aln
Rosemary-Moreno.pdf.hkz2aln
 
Rosemary-Moreno.pdf.hkz2aln
Rosemary-Moreno.pdf.hkz2alnRosemary-Moreno.pdf.hkz2aln
Rosemary-Moreno.pdf.hkz2aln
 
lfresume 201606
lfresume 201606lfresume 201606
lfresume 201606
 
CrystalGibsonResume052815
CrystalGibsonResume052815CrystalGibsonResume052815
CrystalGibsonResume052815
 
RANA POLLARD.res
RANA POLLARD.resRANA POLLARD.res
RANA POLLARD.res
 
Sarah K Schaefer
Sarah K SchaeferSarah K Schaefer
Sarah K Schaefer
 
Tracy Birdsong Resume
Tracy Birdsong ResumeTracy Birdsong Resume
Tracy Birdsong Resume
 
Resume - 20035377
Resume - 20035377Resume - 20035377
Resume - 20035377
 
Ann's Resume
Ann's ResumeAnn's Resume
Ann's Resume
 
Tiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICESTiffany banks_CLIENT SERVICES
Tiffany banks_CLIENT SERVICES
 
Akiesha James
Akiesha JamesAkiesha James
Akiesha James
 
C. Chandler Resume
C. Chandler  ResumeC. Chandler  Resume
C. Chandler Resume
 
Resume William Croughn 2014
Resume William Croughn 2014Resume William Croughn 2014
Resume William Croughn 2014
 
Taran mckeithresume2 (002)
Taran mckeithresume2 (002)Taran mckeithresume2 (002)
Taran mckeithresume2 (002)
 

Thao, Maisie

  • 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