Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Angelina Nice

Cypress,CA

Summary

Accomplished medical biller recognized for strong teamwork and effective communication with healthcare providers and patients. Expertise in streamlining billing workflows and enhancing compliance with insurance guidelines, contributing to improved financial performance.

Overview

23
23
years of professional experience

Work History

Medical Biller

UCI Medical Center
Anaheim, CA
05.2006 - Current

Oversaw billing and collections activities, facilitating accurate claims submission and follow-up for both governmental and non-governmental payers.

Achieved billing accuracy by applying expertise in CPT, HCPCS, and ICD coding standards. Delivered precise billing outcomes through strategic application of coding knowledge.

Monitored and optimized performance to consistently meet productivity and quality targets in fast-paced settings.

  • Oversaw the meticulous processing of medical claims, ensuring prompt reimbursements and addressing potential billing discrepancies.
  • Reviewed patient accounts for completeness and compliance with insurance guidelines, enhancing accuracy in billing procedures.
  • Collaborated with healthcare providers to resolve billing inquiries, improving patient satisfaction and service efficiency.
  • Trained junior staff on coding practices and billing software, fostering a knowledgeable team environment.
  • Developed streamlined workflows for claim submissions, increasing operational efficiency and reducing processing time.
  • Analyzed billing data trends to identify areas for improvement, contributing to strategic decision-making initiatives.
  • Helped in rolling out new electronic health record (EHR) systems, enhancing data management and workflow integration across departments.
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
  • Liaised between patients, insurance companies, and billing office.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Delivered timely and accurate charge submissions.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
  • Trained new team members in medical billing software, increasing efficiency within the department.
  • Organized filing system for patient records, expediting access to essential documents when needed. Originally starting off in our paper medical records department.
  • Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
  • Prepared billing statements and verified correct diagnostic coding.
  • Adhered to established standards to safeguard patients' health information.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
  • Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
  • Consolidated patient data from multiple sources to streamline billing process and improve record accuracy during hospital merger.
  • Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
  • Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
  • Achieved significant reduction in outstanding accounts receivables by implementing rigorous follow-up procedures with insurers and patients.
  • Fostered culture of continuous improvement, encouraging staff to suggest process enhancements that led to more efficient operations.
  • Used data entry skills to accurately document and input statements.
  • Audited and corrected billing and posting documents for accuracy.
  • Monitored outstanding invoices and performed collections duties.
  • Handled account payments and provided information regarding outstanding balances.

TOBACCO CENTER MANAGER

Sam's Club Stanton
Stanton, CA
01.2003 - 03.2005
  • Oversaw daily operations, ensuring compliance with company policies and standards.
  • Managed team performance through effective coaching and mentoring strategies.
  • Implemented inventory control processes, reducing waste and optimizing stock levels.
  • Developed training programs to enhance employee skills and service quality.
  • Coordinated cross-departmental initiatives to improve customer satisfaction ratings.
  • Oversaw the recruitment, hiring, and onboarding processes to ensure a skilled workforce capable of meeting center objectives.
  • Checked facility, employee work and service levels to maintain compliance with company and industry standards.
  • Promoted a culture of teamwork through effective leadership, open communication channels, and regular team-building activities.

Education

High School Diploma -

Santa Ana College
Santa Ana, CA
02-2003

Skills

  • Insurance claims
  • Commercial insurance billing
  • Medicare billing
  • Electronic claims
  • HIPAA compliance
  • Insurance verification
  • CPT knowledge
  • Billing and collection procedures
  • Customer service
  • Medicare and medicaid process
  • Data entry
  • ICD-10 proficiency
  • Claims review
  • Medical terminology expert
  • Multitasking and organization
  • Data analysis
  • Account management
  • LEGACY/ERI proficient
  • Critical thinking
  • Teamwork and collaboration
  • Data security procedures
  • Work prioritization
  • Regulatory compliance
  • Medical terminology
  • Clerical support
  • ICD-9
  • HIPAA compliance certification
  • Verbal and written communication
  • Medical billing technology
  • Reimbursements
  • Information requests
  • Insurance collections
  • Claim review
  • CPT code modifiers
  • Procedure coding
  • Account updating
  • Microsoft office
  • Customer account management

Languages

Spanish
Professional Working

Timeline

Medical Biller

UCI Medical Center
05.2006 - Current

TOBACCO CENTER MANAGER

Sam's Club Stanton
01.2003 - 03.2005

High School Diploma -

Santa Ana College
Angelina Nice