Ana Arce
Reseda,CA
Summary
Motivated Billing Specialist seeking for opportunities and challenges to become part of a dynamic and energetic team. Detail-oriented professional with focus on deadlines and skilled in handling medical billing. To obtain a position as responsible and reliable, where the skills and experience have will be of value.
Overview
13
13
years of professional experience
Work History
Medical Biller
Autism Spectrum Therapies
Burbank, CA
05.2019 - 03.2021
- Managed 25 School district accounts
- Managed 10 Regional Centers accounts
- Ensured preparation and billing of complex client invoices
- Submissions of invoices through Weligent (LAUSD)
- Submission of invoices to School districts
- Billed under Regional Center portals
- Billed deductible and copays under Regional Centers
- Communicated with Regional Center and School district to resolve denied and unpaid claims
- Performed timely and accurate charge submissions.
Medical Biller
Prism Behavioral Solutions
Woodland Hills, CA
05.2018 - 05.2019
- Insurance Verification and eligibility
- Efficient handling of answering phones, scheduling appointments, intake from parents and insurance companies
- Maintaining medical records, patient processing
- Coordinated correspondence with insurance carrier
- Ensure new and current patient records contain complete billing contact and insurance information
- Claim entry and payment posting
- Electronic billing of commercial, HMO and Medi-Cal claims
- Obtain initial and ongoing authorization
- Followed up on account receivables for collections on unpaid accounts and denied claims
- Efficiently credentialed all initial applicants and followed up with insurance companies
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Set up and maintained new electronic billing system.
- Posted payments and collections on regular basis.
Medical Biller Lead
California Revenue Cycle Management / PCOA
Simi Valley, CA
12.2016 - 05.2018
- Verified patient coverage as required to obtain and enter accurate benefit information to positively impact
- Knowledge of aging report, and appeals
- Submitted electronic/paper claims documentation for timely filing
- Responsible for handling billing claims and resolving denied claims
- Managed accounts with high receivables
- Provided assistance to patients in understanding financial obligations as well as established payment
- Responsible for 6 Behavioral health facilities
- Provided facilities with monthly reports of their receivables
- Submitting appeals to insurance companies within timely manner for any outstanding balances
- Trained new employees on multiple medical billing programs and data entry software
Medical Biller Lead
Community Recovery
Los Angeles
03.2013 - 11.2016
- Claim submission, claim followed-up, payment posting and patient statements
- Submission average 250 claims per day
- Knowledge of preparing appropriate claim documents
- Ensure security and confidentiality of patient's information
- Gathered information from multiple sources to simplify billing and organize accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Delivered timely and accurate charge submissions
Front Office
Noble Community Choice Provider
North Hollywood, CA
04.2008 - 03.2013
- Managed multi-line phones per day
- Reviewed and routed messages to appropriate staff and physicians
- Maintained medical records and correspondence files
- Process patient referrals for (Dermatology, Radiology tests, etc.) and check status of previous submitted referrals
- Effort ensured compliance with HIPAA and OSHA guideline
- Interpreter in Spanish
- Performed general duties such as filing, faxing, making copies and typing as needed
- Knowledge and experience of CHDP guidelines
- Completed clerical duties and tasks for clinic administration.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
Education
Medical Biller Certificate -
Kaplan College
Panorama City, CA03.2006
GED -
Reseda Adult School
Reseda, CA06.2005
Skills
- Discrepancy Resolution
- Verbal and Written Communication
- Signature Verification
- Billing and Invoicing
- Decision Making
- Charges and Rates Documentation
- Self-motivated
- Knowledge of word,Excel and Outlook, 30 WPM
- EHR/EMR System - OfficeAlly, Kareo, Sigmund, WebABA, NPA, and Central Reach
- Self-starter
- Fluent in Spanish
- Ability to work independently and as part of team
Timeline
Medical Biller
Autism Spectrum Therapies
05.2019 - 03.2021
Medical Biller
Prism Behavioral Solutions
05.2018 - 05.2019
Medical Biller Lead
California Revenue Cycle Management / PCOA
12.2016 - 05.2018
Medical Biller Lead
Community Recovery
03.2013 - 11.2016
Front Office
Noble Community Choice Provider
04.2008 - 03.2013
Medical Biller Certificate -
Kaplan College
GED -
Reseda Adult School