Adriana Augusta Silva
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
7
7
years of professional experience
Work History
Accounts Receivable Specialist
Restorix Health DBA Gordian Medical
06.2017 - 06.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured the accuracy of customer records in internal systems by updating contact information, payment terms, and other relevant data as needed.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
Education
MEDICAL BILLING AND CODING - BILLING AND CODING
UEI College
Anaheim, CA06.2017
CPT I - Phlebotomy
CRESCENT COLLEGE
Huntington Park, CA10.2012
Skills
- Microsoft Excel
- Microsoft Office
- Medicare process
- HIPAA Compliance
- Claim submission
- Insurance Verification
- Medical claims submission
- ICD-10 Proficiency
- CMS-1500 Billing Forms
- Teamwork and Collaboration
Travel requirements
Remote Position
Essential job functions
Contact Medicare regarding status of claims and the denials. Identify denial trends and report to supervisors. Research to ensure claims are correct, up to date, and clean prior to resubmitting for payment. Assist colleagues with questions and training to complete claims for payment.
Additional responsibilities
- Communicate regularly with managers.
- Attend all scheduled meetings.
- Attend continuing education courses provided by the company and Payer Portals.
Additionaleligibilityqualifications
- CMS – 1500/UB -04 claim form
- PowerPoint/Words/Excel
- Languages: Portuguese/Brazil (Fluent); English (Fluent); Spanish
- My Ability/Sage Pro/LaserFiche
- Compliance with HIPAA and PHI guidelines
- Self-motivated, proactive and takes initiative
- Ability to establish and maintain relationships
- Knowledge in Medical Terminology
- Responsible, outgoing, practical, computer and keyboard/typing skills
- Spokesperson and make sure always my teammates/colleagues are doing ok.
Languages
Portuguese
Native or Bilingual
Spanish
Limited Working
English
Limited Working
Timeline
Accounts Receivable Specialist
Restorix Health DBA Gordian Medical
06.2017 - 06.2024
MEDICAL BILLING AND CODING - BILLING AND CODING
UEI College
CPT I - Phlebotomy
CRESCENT COLLEGE
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