Jamie M Aparicio Garcia
Lincoln Park,USA
Summary
I have over 5 years of experience in costumer services. My background includes, customer service and Medical Biller/coder for FQHC institution.
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Bille/Coder
Covenant Community Care, INC
Dearborn, MI
02.2023 - Current
- Review encounters for accuracy and completeness prior to claim submission; take necessary corrective action by contacting providers, front desk staff, or reviewing charts for proper codes.
- Ensure accurate coding and billing for same-day medical and behavioral health encounters in accordance with FQHC billing regulations.
- Apply correct modifiers (25, 59, SL, etc.) to support accurate claim submission and reimbursement.
- Generate claims for electronic submission.
- Correct and rebill clearinghouse-initiated rejections.
- Post third-party and self-pay payments, as well as denials.
- Appeal and rebill third-party denials in a timely manner.
- Follow up on outstanding accounts receivable (A/R).
- Work various queues in the practice management system to correct registration, charge-entry, and ledger errors.
- Match patient prepayments to appropriate charges in the practice management system.
- Assist patients in resolving account balance discrepancies.
- Maintain knowledge of billing and coding updates from CMS, Medicaid, and commercial payers to ensure compliance.
- Attend webinars and relevant training courses to maintain credential(s).
Costumer Service Medical & Medical Biller
Western Wayne Family Health Centers
Dearborn, MI
07.2019 - 02.2023
- Managed customer inquiries through telephone and in person.
- Verifying patients insurances
- Answer patient questions and find the solution to patient issues.
- Provide customer service to our patients.
- Solved issues the customer may have had with an unexpected bill
- Server the Doctors by keeping the daily schedule current while communicating any changes
- Scheduling establishes patients and new patients.
- Batch reports & Billing reports
- Know about Michigan Medicaid Managed Care and commercial insurance programs.
- Encounter coding, claims submissions, and error corrections.
Waitress
La Terraza Mexican Restaurant
Detroit, MI
01.2019 - 01.2019
- Assisted customers to provide the best possible dining experience.
- Took orders over the phone and placed them in the system.
- Performed cashier duties.
Education
Business Administration -
Universidad De Panama
Panama, Panama01.2005
High school trade - advertising
Instituto Commercial Panama
Panama, Panama01.2002
Skills
- Collaborative
- Work well under pressure
- Attention to detail
- Ambitious
- Responsible
- Always on time
- Customer service
- Fast learner
- Athena Software
- Multitasking
- Easygoing
- Creativity
Certification
- CH-CBS - Community Health coding and billing Specialist
LANGUAGES
English: Speaking, Reading, Writing & Listening.
Spanish: Speaking, Reading, Writing & Listening.
Timeline
Medical Bille/Coder
Covenant Community Care, INC
02.2023 - Current
Costumer Service Medical & Medical Biller
Western Wayne Family Health Centers
07.2019 - 02.2023
Waitress
La Terraza Mexican Restaurant
01.2019 - 01.2019
High school trade - advertising
Instituto Commercial Panama
Business Administration -
Universidad De Panama