Alexis Molina
Corpus Christi
Summary
I'm a Billing Specialist with extensive experience at excelling in Medical Billing, Scheduling and Claims submission. In resolving billing discrepancies and enhancing financial reporting. I'm a Strong communicator at negotiating with insurance companies, and ensuring timely reimbursements while maintaining accuracy and compliance in all billing processes. As I am Successful as well in financial management and billing accuracy. Known for improving billing procedures and resolving them efficiently. I'm a Reliable team collaborator focused on achieving results and adapting to changing needs, and problem-solving skills. I'm a Strong biller with comprehensive knowledge in patient billing and patient procedures as scheduling and ensuring accurate billing and minimizing errors through attention to detail and using billing software as maintaining patient confidentiality.
Overview
6
6
years of professional experience
Work History
Billing Specialist
Surgical Assocaites
02.2025 - Current
- Reviewed and analyzed medical documentation to ensure accurate coding and billing processes.
- Collaborated with healthcare providers to clarify diagnoses and procedures for optimal reimbursement.
- Conducted audits of coded claims to identify discrepancies and recommend corrective actions effectively.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Post all insurance EOB checks into ECW Software for Insurance carriers, as well as check eligibility and benefits for the patients visits
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Maintained accuracy, completeness, and security for medical records and health information.
- Mentored new hires in industry best practices, fostering a culture of continuous learning within the team.
Billing Specialist/Medical Coder
Calallen Chiropractic
02.2020 - 01.2025
- Processed and verified patient billing information for accuracy and compliance.
- Managed insurance claims submissions, ensuring timely reimbursement from providers.
- Coordinated payment plans with patients, enhancing financial clarity and support.
- Resolved billing discrepancies through detailed analysis and effective communication with clients.
- Generated comprehensive monthly reports to monitor billing performance and trends.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Managed monthly billing cycles to ensure timely issuance of invoices and statements.
Customer Service Representative
Walmart
01.2022 - 01.2024
- Resolved customer inquiries efficiently, enhancing overall satisfaction and retention.
- Trained new team members on best practices for service excellence.
- Implemented feedback mechanisms to improve service delivery processes.
- Managed complex customer complaints, ensuring timely resolutions
- Analyzed customer feedback trends to identify areas for process improvement.
Education
High School Diploma -
Tuloso Midway High School
Corpus Christi, TXNo Degree - Nursing Education
Texas State University
San Marcos, Texas, TXSkills
- Medical coding
- Claims submission
- Billing reconciliation
- Insurance verification
- Denial management
- Patient communication
- Financial reporting
- Data entry accuracy
- Payment negotiation
- EOB processing
- Claims auditing
- Billing systems and software
- Invoice processing
- Customer service
Timeline
Billing Specialist
Surgical Assocaites
02.2025 - Current
Customer Service Representative
Walmart
01.2022 - 01.2024
Billing Specialist/Medical Coder
Calallen Chiropractic
02.2020 - 01.2025
High School Diploma -
Tuloso Midway High School
No Degree - Nursing Education
Texas State University