Angie Perdomo
Cape Coral,FL
Summary
Competent medical biller providing 11 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Capable of coordinating with insurance companies and expediting claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Organized Medical Biller adept at accurately auditing patient charts and billing corresponding parties. Driven Medical Biller motivated to perform beyond expectations. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with a background overseeing accounts and handling records management tasks. Considered a team-oriented person with great decision-making skills. Knowledgeable Medical Biller with eye for detail and commitment to accurate work. Bilingual professional with expertise submitting medical claims to insurance carriers. Fluent in spanish.
Overview
16
16
years of professional experience
Work History
Insurance Verification Specialist
Gladiolus Surgery Center
Fort Myers, FL
07.2023 - Current
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Trained new staff on current, correct insurance verification procedures.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
Medical biller
Sean E. McCance, MD, Spine surgeon
New York, NY
05.2012 - 07.2023
- Reviewed patient diagnosis codes to ensure accuracy and completeness.
- Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
- Ensured all sensitive information was backed up and stored on secure systems constantly.
- Prepared accounts with past due balances of more than 180 days and transferred those cases to collection agency.
- Verified proper ICD-10 coding on claims.
- Verified signatures and checked medical charts for accuracy and completion.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Liaised between patients, insurance companies and billing office.
- Applied charges and updated patient records by using Medical Manager and SRS EMR.
- Collected payments and applied to patient accounts.
- Adhered to established standards to safeguard all patients' health information.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Analyzed medical records to satisfy insurance company mandates.
- Managed billing calendar and scheduled claims for payments.
- Scheduled patients in Medical Manager System.
- Devised new methods to make workflows more efficient and brought suggestions to attention of administrator.
- Efficiently collected payments and communicated with clients.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Reviewed outgoing bills for eligibility and accurateness.
- Submitted electronic and paper claims to insurance companies including Medicare to collect medical payments.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Analyzed complex Explanation of Benefits forms to ensure insurance carriers were charged correctly.
- Filed and updated patient information and medical records.
- Coordinated front office duties, including customer service, patient scheduling and billing.
- Supported providers in outpatient medical office through coordinating all administrative operations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Organized patient files and streamlined operations to improve efficiency.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Completed skilled administrative work to support all office staff and operational requirements.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Answered phone calls and messages for 4 physicians, medical facility, scheduling appointments and handling patient inquiries.
- Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience.
- Carried out front office duties utilizing data entry skills in framework of medical database.
Remote Medical Billing Consultant
Candid Inc
San Francisco, CA
03.2022 - 03.2023
- Reduced errors in billing data entry through implementing automated validation checks.
- Participated in monthly financial review meetings, providing insights and recommendations on how to improve billing-related performance metrics.
- Supported optimal revenue cycle management by analyzing trends within payer mix data and collaborating with leadership to develop strategic plans for improvement.
- Facilitated smooth transitions during system upgrades or migrations by providing comprehensive training materials for staff members and addressing any concerns or questions that arose during implementation phases.
- Expedited claim processing times through meticulous documentation and submission of required paperwork.
- Maintained compliance with industry regulations by staying current on changes in medical billing codes and standards.
- Contributed to business growth by identifying opportunities for improvement in the overall billing process, resulting in increased efficiency and profitability.
- Increased cash flow by promptly submitting accurate claims to insurance companies for timely payment.
- Ensured accuracy in billing procedures by conducting regular audits of patient accounts and records.
- Reduced claim denials by diligently reviewing and validating patient insurance information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Responded to customer concerns and questions on daily basis.
Front Desk Medical Receptionist
Ramon Valderrama MD PC
New York, NY
03.2009 - 09.2012
- Coordinated front office duties, including customer service, patient scheduling and billing.
- Supported providers in outpatient medical office through coordinating all administrative operations.
- Managed master calendar and scheduled appointments for one provider based on optimal patient loads and availability.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Completed and filed financial documentation for accounting purposes.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed skilled administrative work to support all office staff and operational requirements.
- Received, recorded and addressed incoming and outgoing communication via telephone.
- Answered phone calls and messages for physician, medical facility, scheduling appointments and handling patient inquiries.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Obtained patient releases for dissemination of information.
- Received and processed medical records requests.
- Responded to materials requests and retrieved necessary information.
- Sorted materials and filed according to guidelines.
- Received and routed medical records.
Education
Bachelor of Arts - Forensic Psychology
John Jay College of Criminal Justice of New York City
New York, NY05.2019
Skills
- Accounts receivable management
- Medical claims submission
- Spine billing knowledge
- Payment posting
- Collection calls
- Medical coding knowledge
- Data Analysis
- Proficiency in SRS EHR, and Medical Manager software
- Patient account analysis
- Medical record security
- Data Entry
- Records maintenance
- Medicare process
- Confidentiality
- A/P and A/R expertise
- Billing statement review
- Payment Processing
- Invoicing prowess
- Collections duties
- Customer Service
- MS Office
- Quality Assurance
- Scheduling
- Time management
- Team building
Timeline
Insurance Verification Specialist
Gladiolus Surgery Center
07.2023 - Current
Remote Medical Billing Consultant
Candid Inc
03.2022 - 03.2023
Medical biller
Sean E. McCance, MD, Spine surgeon
05.2012 - 07.2023
Front Desk Medical Receptionist
Ramon Valderrama MD PC
03.2009 - 09.2012
Bachelor of Arts - Forensic Psychology
John Jay College of Criminal Justice of New York City