Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Andrea Romero

Albuquerque,NM

Summary

Adept Medical Billing Manager with a proven track record. Specializing in accounts receivable management and fostering positive customer relations. Excelled in resolving billing discrepancies and maximizing reimbursement, ensuring accuracy in patient and insurance data. Demonstrates effective communication and a professional demeanor, significantly enhancing team efficiency and client satisfaction.

Overview

8
8
years of professional experience

Work History

Medical Billing Manager

The Enhancement Center
Albuquerque, NM
09.2016 - Current
  • Verified accuracy of patient information and insurance data in billing system.
  • Submitted claims to insurance companies electronically or by mail.
  • Resolved denied claims by researching payer requirements and preparing appeals.
  • Reconciled accounts receivable to ensure accuracy of payments received.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Provided customer service support to patients regarding billing inquiries.
  • Developed an understanding of how various insurance plans process claims for reimbursement purposes.
  • Prepared financial statements that summarize account activity over a period of time.
  • Ensured timely filing of all claims within established guidelines.
  • Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Resolved coding discrepancies and denials to maximize reimbursement.
  • Maintained positive working relationship with fellow staff and management.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.

Education

High School Diploma -

Valley High School
Albuquerque, NM
05-2000

Skills

  • Effective communication abilities
  • Accounts receivable management
  • Collections understanding
  • Insurance Verification
  • Data Entry
  • Positive and professional
  • Customer Relations
  • Member account management

References

References available upon request.

Timeline

Medical Billing Manager

The Enhancement Center
09.2016 - Current

High School Diploma -

Valley High School
Andrea Romero