Mayo Whu

Background includes experience and training in medical billing and coding, medical terminology, anatomy, record and bookkeeping, financial analysis, tax return preparation, research, reporting, quality customer service, problem solving, legal procedures, litigation, project management, computers, Microsoft Office (Word and Excel), EPIC System, Intro SQL Server, Tableau, and Intro Python. Hard-working and reliable; interact effectively with co-workers and the public; quick to learn.

FGP Reimbursement Analyst – MCO at NYU LANGONE (2023-12 – Present)

Perform data analytics to identify and recover underpayments caused by Managed Care contract misinterpretation and invalid denials to maximize reimbursement, efficiently lower A/R, and expedite the revenue cycle process.

• Perform duties as assigned.
• Learn appropriate new software systems to help analyze and evaluate claims data
• Work collaboratively with a variety of departments within NYU School of Medicine and externally with commercial managed care payers via Tracker call directly.
• Develop a comprehensive understanding of all managed care contractual terms and reimbursement methodologies between NYU School of Medicine and external commercial payers as well as navigating through payer's portal.
• Maintain data integrity when manipulating excel data files for purposes of pivot analysis to ensure data does not become corrupted through conscientious use of tools and a system of checks and balances.
• Execute data mining and in-depth analysis to support managed care contracting initiatives.
• Collect and analyze data to determine denial and underpayment trends across the Faculty Group Practice for review and distribution.

FGP Billing Coordinator – ACWS at NYU LANGONE (2022-04 – 2023-12)

Ensure ICD-10-CM, CPT and HCPCS coding is submitted properly based on documentation review (Medical Coding Review) as well as charge submission and accounts receivable follow-up on a timely manner in EPIC system.

• Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
• Perform daily tasks in assigned work queues and according to manager assignments.
• Follow workflows provided in training classes and request additional training as needed.
• Communicate with providers or other responsible person to ensure that claims are correctly processed by third party payers.
• Review and resolve denial issues by reviewing documentation and payer specific policies.
• Participate in reviews of office procedures as they relate to charge submission and denial management; recommend suggestions, ideas and solutions to improve processes. Collaborate with the practice and administration to implement changes to practice operations where necessary
• Review resources including (but not limited to): CPT and ICD-10-CM manuals, payer policy and procedure manuals and updates and CMS publications to ensure practices are in compliant with documentation, current policies and procedures.
• Attend all required training classes. Escalate issues to management as needed. Coordinate functions and work cooperatively with others. Explain processes and procedures to others; perform other related duties as required.
• Perform Ad hoc duties as assigned.

Revenue Cycle Coding Support – Radiology (Fully Remote) at RADNET, INC (2021-09 – 2022-04)

• Research the various RIS systems for medical necessity, drugs, orders, ABN's and other information as needed.
• Contact imaging centers and/or hospitals when addendums or information is needed to accurately code an exam.
• Research to resolve reports in the Transcription and Need Report queues.
• Email Charge Corrections spreadsheets weekly.
• Email PET contact questions from the coders.
• Report issues, trends and/or problems to the Supervisor in a timely manner.
• Perform Ad hoc duties as assigned.

Contact Tracer (Temporary Assignment) at NEW YORK STATE HEALTH DEPARTMENT (2020-10 – 2021-02)

• Work in collaboration with the Case Investigator from the local health department (LHD).
• Call contacts of newly diagnosed cases.
• Communicate with contacts in a professional and empathetic manner maintaining emotional and cultural awareness.
• Collect and record information on symptoms and needs into the CRM with accuracy.
• Provide contacts with approved information about NYS isolation and quarantine procedures, and if appropriate, refer them to testing according to protocol and/or to a COVID-19 Community Support Specialist for social resources.
• Follow a set script to inform contacts about the importance of isolation or quarantine and what to do if symptoms are present or develop.
• Maintain daily contact with Team Supervisor via Microsoft Team.

Medical Front Desk Internship at LAWRENCE NESHIWAT, MD P.C. (Endocrinologist) (2019-09 – 2020-09)

• Process referrals and schedule client appointments
• Document referral in practice management system.
• Verify insurance benefits via system tools (EHR), and Insurance Payer Portal/Phone.
• Responsible for obtaining accurate and timely pre-authorizations for professional services.
• Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals).
• Collect all monies due from patient at time of service and input charges and payments to computerized system.
• Enter new patient data, processing forms, complete faxing/scanning tasks and answer phone calls
• Assist Administrative team, Cardiologist team and Sonogram team as required.
• Provide medical records as directed to legal, insurance, and other providers.
• Conform to all applicable HIPAA, Billing Compliance and safety policies and guidelines.

Treasurer (Board Member Volunteer) at THE NEW YORK FLUTE CLUB (2020-06 – 2024-05)

• Responsible for weekly, monthly, and quarterly bank reconciliation
• Prepare financial reports for board of directors meeting.
• Responsible for issuing payments to artists, space rental, and any administrative expenses along with making deposits.
• Process 1099, ASCAP, and BMI in addition to following-up on Char500 and Form 990 tax return.
• Participate in the flute fair and assist on sales and collection.

Tax Preparer Assistant (Temporary Assignment) at KUN LEE, CPA, PC (2019-01 – 2021-04)

Responsible for the accurate preparation of income tax season for individual and corporate clients.

• Specific duties include interviewing and consulting with clients, preparing and filing all documents (manual and electronic), maintaining detailed financial records with financial review, and providing quality customer service.
• Process annual, quarterly, monthly and/or weekly payroll and payroll/sales taxes.
• Prepare W2, W3, 940, 941, and NYS45.
• Assist in preparation of Form 990, 1120, and 1065.

Senior Credit Officer – Credit Middle & Training / Corporate & Specialized Financing at SUMITOMO MITSUBISHI BANKING CORPORATION (2007-04 – 2018-10)

Responsible for performing credit and transaction analysis of new and existing clients of investment grade and non-investment grade in various industries, including real estate, consumer products, automotive, general corporate, aircraft financing, leasing, and project finance.

• Oversaw the underwriting and due diligence process along with the closing activities.
• Reviewed credit risk grades to counterparties and applications for renewal of credit lines.
• Monitored and verified new and existing transactions for compliance with credit limits and conditions along with other credit administration, reporting and analysis related tasks as assigned.
• Reviewed and analyzed risk elements of existing and new clients covered by pre-approved list.
• Trained junior credit analyst on risk control and transactional review on grading and self-assessment.
• Attended Credit Committee meeting and performed ad hoc projects as required.

Investment Officer (Closely-Held Company Analyst) at CITIGROUP TRUST – Global Wealth Management (2000-08 – 2007-04)

Responsible for internal pricing of private companies. Prepared valuation report on private companies by analyzing financial statements, interviewing management, performing cash flow analysis, and utilizing comparable company analysis.

CPC – Roxbury Institute for Medical Management (2021-06)

CCS – Roxbury Institute for Medical Management (2022-01)

Certificate in COVID-19 Contact Tracing – Johns Hopkins University (2020-05)

BBA – Baruch College (1990-12)