Adriana Williams
Sherman Oaks,CA
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate coding and billing compliance.
Overview
16
16
years of professional experience
Work History
Medical Biller
Jeffrey B. Glaser, M.D.
07.2016 - 10.2024
- Self-motivated, with a strong sense of personal responsibility.
- Facilitated positive patient care and experience by resolving billing and financial inquiries promptly and professionally.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its patients.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Office Manager (Temp)
Providence Medical Institute
07.2015 - 12.2015
- Filled supervisor position in high volume medical practice comprised of 12 employees and 4 medical providers specializing in Internal medicine.
- Managed daily operations of medical practice and billing department.
- Developed and enforced office policies that aligned with company values and regulatory requirements, maintaining compliance.
- Daily review of charges and documented treatments ensuing compliance with coding regulations.
- Run end of day reports and balance production and collections.
- Process daily deposits.
- Approve employee time-off requests, and arrange coverage.
Office Manager/ Biller/ Back Office
Ali Sheybani Medical Inc.
12.2012 - 10.2014
- Manage daily operations of business and clinical practice to ensure compliance and efficiency in a digital environment.
- Process insurance contracts, physician license renewals, credentialing and re-appointments.
- Ensure compliance with CMS guidelines and regulations.
- Experience in medical coding & billing using CPT/ ICD-9 &10 coding system for provider services: office visits & procedures, hospital services, skilled nursing facilities, home visits and cardiology services.
- Extensive knowledge of clinical guidelines for commercial (PPO), HMO, Medicare and Medicaid health plans.
Office Manager/ Biller/ Chairside Assistant
Guillermo A. Roman, D.D.S.
05.2008 - 12.2009
- Payroll
- Process daily payments & deposits
- Reconcile daily production & collections
- Set-up vendor and supplier accounts
- Accounts receivable/payable
- Present treatment and payment plans
- Coordinate treatments referrals
- Electronic claims submission
- Insurance eligibility and benefit verification
- Chairside assisting / Digital charting
- Tray set-up
- Sterilizing techniques (OSHA compliant)
- CPR/AED certified
Education
High School Diploma -
Van Nuys High School
Van Nuys, CASkills
- Bilingual in Spanish
- Excellent communication skills and customer service
- Strong critical thinking, attention to details and problem solving skills
- Extensive medical knowledge in various medical specialties
- Experience in medical billing and electronic claims processes
- CPT and ICD-10 coding system
- Prior authorization processing
- Extensive knowledge of Insurance clinical and medical guidelines
- Proficient in EMR software systems, Athena health, Epic and Care360 practice management
Timeline
Medical Biller
Jeffrey B. Glaser, M.D.
07.2016 - 10.2024
Office Manager (Temp)
Providence Medical Institute
07.2015 - 12.2015
Office Manager/ Biller/ Back Office
Ali Sheybani Medical Inc.
12.2012 - 10.2014
Office Manager/ Biller/ Chairside Assistant
Guillermo A. Roman, D.D.S.
05.2008 - 12.2009
High School Diploma -
Van Nuys High School
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