Ana Delia Guerrero
Houston,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
18
18
years of professional experience
Work History
Office Manager, Accounting
Warrior Contractors
Houston , TX
07.2020 - Current
- Processed invoices and payments in accordance with company policies and procedures.
- Reconciled vendor statements, investigated and resolved discrepancies.
- Maintained accounts payable files and records in an organized manner.
- Prepared checks for payment of vendor invoices on a timely basis.
- Monitored accounts receivable aging reports to ensure timely payments.
- Calculated and produced checks for utilities, taxes and other operational payments.
- Analyzed customer account information to identify discrepancies or trends in payment history.
- Processed invoices, credit memos, and other documents related to accounts receivable.
- Managed collections activity including contacting customers regarding past due balances and resolving billing disputes.
MEDICAL CODING AND BILLING SPECIALIST
NEXTEP/Charles Garcia & Associates M.D., P.A. Ophthalmologist
Houston, TX
06.2006 - 06.2020
- Demonstrated expertise in ICD-10 and CPT coding systems, as well as HCPCS Level II codes
- Adhered to HIPAA regulations when handling confidential patient information
- Resolved rejected or denied claims by contacting insurance companies to correct errors or obtain additional information
- Maintained a thorough understanding of insurance regulations, including Medicare, Medicaid, Blue Cross and Blue Shield and private insurers
- Analyzed provider bills for accuracy before submitting them for payment approval
- Reviewed documentation from providers to ensure compliance with coding guidelines and standards
- Developed proficiency in medical terminology and anatomy to accurately assign codes for diagnoses and procedures
- Assisted in training new staff members on the use of coding software applications
- Generated detailed reports summarizing monthly billings and collections performance metrics
- Created spreadsheets tracking individual account histories for follow up action when necessary
- Performed data entry tasks to enter patient information into electronic health records system
- Conducted audits of medical records to verify completeness of documentation needed for accurate code assignment
- Identified coding discrepancies between healthcare providers' notes and billing documents
- Prepared financial statements related to accounts receivable activities such as charges, payments, adjustments and denials
- Provided customer service support via phone or email regarding billing inquiries or disputes
- Processed patient claims through electronic billing systems following established protocols
- Monitored aging accounts receivable balances to ensure timely collection of payments due from patients or insurance carriers
- Verified accuracy of submitted claims prior to submission to payers for reimbursement
- Helped review insurance denials related to diagnosis issue.
Education
GED
Houston, TXSkills
- System Updates
- CPT Code Modifiers
- Data Entry
- Patient Data Identification
- Client Inquiries
- Diagnostic Codes
- Problem Resolution
- Reading Comprehension
- Data Verification
- Reviewing Patient Information
- Patient Flow
- Coding Appeals
- Medical Claims Coding
- Paperwork and Documentation
- ICD-10 Requirements
- Past Due Balance Management
- Medical Billing and Collections
- Insurance Claims Analysis
- Coverage Determination
- Demographics Information
- Reminder Calls
- Expense Reporting
- Bookkeeping
- Customer Service
- Billing
- Supply Management
- Office Management
- Mail Handling
- Scheduling Coordination
- Financial Accounting
Personal Information
Title: Coding and Billing Specialist
References
References available upon request
Timeline
Office Manager, Accounting
Warrior Contractors
07.2020 - Current
MEDICAL CODING AND BILLING SPECIALIST
NEXTEP/Charles Garcia & Associates M.D., P.A. Ophthalmologist
06.2006 - 06.2020
GED
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