Amy Morales
Arlington,TX
Summary
Seasoned Medical Billing Director known for high productivity and efficiency in task completion. Possess specialized skills in revenue cycle management, compliance oversight, and process improvement strategies. Excel in leadership, communication, and problem-solving to achieve organizational goals and optimize billing operations.
Overview
7
7
years of professional experience
Work History
Medical Billing Director
M2 Medical
Plano, Texas
01.2016 - 08.2018
- Determined prior authorizations for medication and outpatient procedures.
- Reviewed claims for coding accuracy.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Collected, posted and managed patient account payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Submitted claims to insurance companies.
Medical Billing Specialist
Medica Health Management
Southlake, Texas
10.2014 - 01.2016
- Reviewed claims for coding accuracy.
- Submitted appeals using provider portals and phone communication.
- Generated financial reports for management review.
- Determined prior authorizations for medication and outpatient procedures.
- Meticulously tracked and resolved underpayments.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
Medical Billing Lead
Ftgu Medical Consulting
Irving, Texas
03.2011 - 10.2014
- Processed invoice payments and recorded information in account database.
- Reconciled codes against services rendered.
- Checked claims coding for accuracy with ICD-10 standards.
- Answered customer questions to maintain high satisfaction levels.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Submitted claims to insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
Skills
- Insurance verification
- Claims processing
- Billing software
- Attention to detail
- Time management
- Effective communication
Timeline
Medical Billing Director
M2 Medical
01.2016 - 08.2018
Medical Billing Specialist
Medica Health Management
10.2014 - 01.2016
Medical Billing Lead
Ftgu Medical Consulting
03.2011 - 10.2014
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