Ana Lily Lara
Summary
Skilled and organized Medical Billing and Coding Specialist as well as Clinical Assistant with over 10 years of experience in providing administrative and patient support in medical office settings . Work independently and in group to solve routine problems without oversight. Profound HIPAA compliance, risk management, and patient service. Energetic Medical Coder with can-do attitude and dedication to accuracy. Bilingual professional with expertise analyzing provider documentation for appropriate codes.
Overview
11
11
years of professional experience
Work History
Medical Coding and Billing Specialist/Clinical Assistant
Planned Parenthood Mar Monte
Watsonville, CA
02.2020 - Current
- Maintained highest patient confidentiality in accordance with HIPAA guidelines
- Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
- Consulted with physicians on documentation that was incomplete, inaccurate, required further diagnosis specification and added modifiers to diagnoses.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Quickly processed incoming payments and posted to correct account. Updated patient financial information to guarantee accuracy.
- Prepared billing statements for patients and verified correct diagnostic coding. Identified and resolved patient billing and payment issues.
- Supported front office operations by scheduling, rescheduling and cancelling appointments. Managed multi-line phone system and pleasantly greeted patients. Helped patients complete necessary medical forms and documentation.
- Trained and mentored new personnel hired to fulfill various roles.
Administrative Assistant
Monterey Peninsula Surgery Center
Monterey, CA
10.2016 - 02.2020
- Managed communication between medical director, surgeons, anesthesiologists, register nurses, patients, and agencies.
- Corrected grammar, spelling and syntax mistakes in Op Report.
- Verified signatures and checked medical charts for accuracy and completion.
- Communicated with patients on phone and in person of any preparations required for scheduled procedures and provided treatment plan documentation.
- Counseled patient about personal financial responsibility and collaborated with billing to resolve patient accounts.
- Maintained compliance with established policies, procedures and accreditation requirements,
- Checked patients in and out and collected payments.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Restocked supplies and placed purchase orders to maintain adequate stock levels
Patient Access Representative/Medical Biller and Coder
Planned Parenthood Los Angeles
City of Los Angeles, CA
12.2012 - 09.2016
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Documented vital signs and health history for patients in clinic.
- Performed venipuncture and administered vaccinations and medications for patients between ages of 13 and 45.
- Obtained laboratory testing.
- Comforted anxious patients before procedures and listened to concerns, offering support and compassion.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions.
- Sanitized, restocked and organized exam rooms and medical equipment.
- Contacted insurance companies for patient medical billing operations.
- Collected and posted co-payments and explained patient financial responsibility to patients and family.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Identified overpayments and processed refunds for patients.
- Executed billing tasks and recorded information in EHR.
- Counted, balanced and reconciled cash and credit card payments daily.
Call Center Representative
Planned Parenthood Los Angeles
Los Angeles, CA
10.2011 - 12.2012
- Answered average of 150 calls per day.
- Scheduled and rescheduled patient's appointments into Next Gen.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Delivered excellent phone service experience with friendly, compassionate, and helpful demeanor.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Responded proactively and positively to rapid change
Education
Certificate - Medical Billing And Coding
Everest College
Ontario, CA07.2012
Associate of Science - Collaborative Health And Human Services
California State University of Monterey Bay
Seaside, CA05.2009
High School Diploma -
Alisal High School
Salinas, CA05.2005
Skills
- Bilingual
- HIPAA compliance
- 65 WPM
- Medical Terminology
- EHR and EMR proficient
- Multitasking, Time management and Prioritization
- Attention to Detail
- Medical Coding
- Clerical Functions
- Payment Processing
- Billing Data Verification
- Verbal and Written Communication
Timeline
Medical Coding and Billing Specialist/Clinical Assistant
Planned Parenthood Mar Monte
02.2020 - Current
Administrative Assistant
Monterey Peninsula Surgery Center
10.2016 - 02.2020
Patient Access Representative/Medical Biller and Coder
Planned Parenthood Los Angeles
12.2012 - 09.2016
Call Center Representative
Planned Parenthood Los Angeles
10.2011 - 12.2012
Certificate - Medical Billing And Coding
Everest College
Associate of Science - Collaborative Health And Human Services
California State University of Monterey Bay
High School Diploma -
Alisal High School