Antonella Alvarez Gardin
Elizabeth
Summary
Dynamic Medical Biller and Precertification Specialist with expertise in CPT coding and insurance claims processing. Achieved successful reimbursements through effective appeals management and enhanced patient satisfaction by clarifying complex billing issues. Strong attention to detail and proactive problem-solving skills minimized claim denials and expedited authorizations.
Overview
3
3
years of professional experience
Work History
Medical Biller and Precertification Specialist
Steven Nehmer M.D.
01.2023 - Current
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
Legal Data Entry Clerk
Guaranteed Subpoena Service
10.2021 - 01.2023
- Followed established procedures to enter and process data correctly.
- Sorted documents and maintained organized filing process.
- Verified entered data against source documents to maintain consistency across multiple platforms within the organization.
- Prevented costly mistakes by proactively identifying discrepancies in numerical entries and rectifying them promptly.
Education
High School Diploma -
Alexander Hamilton Academy
Elizabeth, NJ09-2018
Skills
- Medical billing
- CPT knowledge
- Insurance claims processing
- ICD-10
- Medical coding expertise
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Portuguese
Professional Working
Timeline
Medical Biller and Precertification Specialist
Steven Nehmer M.D.
01.2023 - Current
Legal Data Entry Clerk
Guaranteed Subpoena Service
10.2021 - 01.2023
High School Diploma -
Alexander Hamilton Academy
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