Summary
Overview
Work History
Education
Skills
Timeline
Generic

Andrea Moncayo

Bloomfield

Summary

Efficient and motivated Medical Billing Specialist with over ten years of experience seeking a full time position with a company that will present challenges and opportunities for growth and advancement. Familiar with various intergraded electronic health records and practice management software systems.

Overview

14
14
years of professional experience

Work History

Lead Billing Specialist

Madison Medical & Sports Rehabilitation Center
12.2022 - Current
  • Overseeing outside billing company and creating workflows.
  • Providing excellent customer service, developing and maintaining client relationships.
  • Monitoring customer accounts to identify and rectify billing issues.
  • Creating and submitting claims to insurance companies.
  • Researching and resolving billing discrepancies to enable accurate billing.
  • Patient and insurance aging.
  • Handling inbound and outbound patient and insurance calls.
  • Processing and posting insurance and patient payments.

Payment Poster

PGM
01.2022 - 04.2023
  • Accurately posted payments and adjustments both electronically and manually for 18 accounts.
  • Reconciled accounts receivable ledger to verify payments and resolve variances.
  • Investigated daily variances and corrected errors to resolve discrepancies.
  • Reported financial data and updated financial records in ledgers and journals.
  • Prepared various reports for every client.

Medical Billing Specialist

The Dermatology Group
05.2018 - 10.2020
  • Submitted claims daily for multiple providers.
  • Posted paper EOB's and patient payments.
  • Reviewed and processed ERA's.
  • Reconciled cash for multiple locations.
  • Made daily cash and check deposits.
  • Handled inbound and outbound patient calls.
  • Researched claim denials.

Data Entry Billing Specialist

Comprehensive Medical Care
07.2017 - 05.2018
  • Submitted claims daily for over 15 providers.
  • Reviewed all posted daily charges and efficiently created patient claims for submission for payments,
  • Reviewed all encounters from each location to verify that all charges were accurately entered by the medical providers,
  • Ensured all the coding is accurate concerning order, modifiers, etc,
  • Researched claim denials.

Medical Billing Specialist

MBA Medical Management
05.2010 - 05.2017
  • Created and submitted inpatient and outpatient claims to insurance companies for 9 providers.
  • Ensured that all billing was accurate.
  • Followed up on denied claims with insurance companies.
  • Patient and insurance aging.
  • Handled inbound and outbound medical collection calls.
  • Processed and posted patient payments.
  • Posted ERA's and paper EOB's.

Receptionist / Medical Billing Specialist

Bloomfield Gynecology
07.2009 - 05.2010
  • Created, confirmed, changed and cancelled patient appointments.
  • Checked patients in and out.
  • Posted patient copays and invoice payments.
  • Created and submitted claims for payment.

Education

Associate In Applied Science Degree - Health Services Administration

Berkeley College
Woodland Park, NJ
12.2022

High School Diploma - undefined

Bloomfield High School
Bloomfield, NJ
2005

Skills

  • Charge entry
  • Coding inpatient and outpatient services
  • Claim submission
  • Verifications
  • Insurance payment posting
  • Patient paymenr posting
  • Insurance aging
  • Patient aging
  • ICD 10 coding
  • CPT coding
  • HIPAA compliant
  • Medical terminology
  • Insurance terminology
  • Excellent interpersonal and phone skills
  • Microsoft Office systems (word, excel, outlook)
  • Medisoft, Allscripts, Greenway, MacPractice and Centricity
  • Bilingual in Spanish and English

Timeline

Lead Billing Specialist

Madison Medical & Sports Rehabilitation Center
12.2022 - Current

Payment Poster

PGM
01.2022 - 04.2023

Medical Billing Specialist

The Dermatology Group
05.2018 - 10.2020

Data Entry Billing Specialist

Comprehensive Medical Care
07.2017 - 05.2018

Medical Billing Specialist

MBA Medical Management
05.2010 - 05.2017

Receptionist / Medical Billing Specialist

Bloomfield Gynecology
07.2009 - 05.2010

Associate In Applied Science Degree - Health Services Administration

Berkeley College

High School Diploma - undefined

Bloomfield High School
Andrea Moncayo