Thu Heuser Email & Phone Number

Brentwood, California

Billing and ReimbursementCredentialing ProviderContractsSpeciality: Pharmacy, Internal Med, Radiology, Worker Comp and Mental Health

Pleasanton, California

-Daily billing on worker Comp, Auto Accident and personal injury. Call insurance on denials, work with adjuster and doctor office to get claims paid.-Post Payments-Medical Records and Affidavits-Settlements

San Ramon, Ca

Post patient and insurance payments for six private medical practices, using various billing applications, coding solutions and services including Office Ally, BOSaNova and OPTUM/CareTracker.- Ensure accurate claims processing within two business days from time of receipt from service provider.- Areas of focus include family practitioner, allergy/ear-nose-throat (ENT), cardiology, psychology, radiology and Workers’ Compensation claim processingOwn customer care followup calls coordinating insurance agencies (BlueShield/BlueCross, Aetna, Cigna, Untied Healthcare, Noridian/Medicare, and Medi-Cal) with care providers regarding billing denials.- Point of contact for inquiries from insurance/benefit carriers, healthcare providers, and patients- Processing claim denials and insurance reimbursement underpayments including writing letters and memos to doctors when insurance companies deny service(s). - Primary point of contact to specific private practice facilities- On-site customer visits to participating private practice facilitiesResponsible for cash postings, credit card payments, reviewing EOBs, and posting denials, adjustments, disallows, and write-offs and payments received from carriers.- Maintain accurate and complete records concerning collection activities on all doctor and private practice accounts including those with capitation plans- Process and submit redetermination claims for Medicare and Claims Inquiry Forms (CIF) for Medi-Cal. - Complete charge entries and patient collections - Create refund requests when required and submit for review/approval to ensure validity before submitting to client - Current Procedural Terminology ICD-9, CMS1500, UB04, HCPCS diagnostic codes- Reconcile cash receipts from multiple insurance sources to all private practice doctor EOBs. - Currently HIPPA-certifiedLead new hire training for company- and customer-specific processes

Alameda, Ca

- Posted patient and insurance payments using Brightree Medical Billing and athenahealth EHR systems.- Processed claim denials- Internship part of required coursework from Everest College

Alamo, Ca

- Managed all aspects of the restaurant and catering services, with annual revenues exceeding $1M.- Coordinated community outreach programs to local elementary schools and Girl Scout organizations- Responsibilities included all business operations, bookkeeping, personnel, promotions & advertising, vendor management, payroll and cash management.

Certified For Medical Insurance Billing And Coding, Medical Biller And Coder, Valedictorian

General Psychology

Mass Communication & Child Psychology