Aracely Camacho
Progressive Surgical Associates S.C
20
years of professional experience
Experienced Medical Billing and Revenue Cycle Management Professional with 20 years of experience in healthcare billing, insurance reimbursement, and accounts receivable management. Expertise in claims processing, insurance verification, payment posting, denial resolution, and team leadership. Proven ability to identify billing discrepancies, improve workflow efficiency, reduce claim denials, and maximize reimbursement. Strong analytical, organizational, and communication skills with a commitment to accuracy and optimizing revenue cycle performance.
Work History
Director of Billing
13 Years 4 Months- Increased revenue by 30% by implementing payment policy and procedures on high deductible accounts and credit card collections.
- Supervised, trained, and mentored billing specialists to improve productivity accuracy and overall department performance.
- Reduced insurance denials by 25% by implementing patient eligibility verification procedures and ensuring referrals were obtained prior to appointments.
- Reconciled credit card payments and electronic remittance advices (ERAs) on weekly basis to maintain aligned records.
- Investigated and resolved outstanding insurance claims, corrected billing errors and submitted appeals to ensure timely reimbursement.
- Verified patient eligibility, obtained prior authorization when needed, checked referrals, reviewed claims status, and submitted appeals through insurance portals.
- Posted insurance payments electronically and manually, including virtual credit card transactions.
- Researched and corrected clearinghouse rejections to ensure accurate claims submission and compliance with payer requirements.
- Submitted paper claims to workers’ compensation with associated medical records and submitted paper claim to secondary or tertiary insurance submissions when required.
- Responded to patients billing inquiries, explained account balances, discussed payment options, and processed credit cards payments over the phone.
- Established payment arrangements and prepared agreements for self pay patients, including those undergoing elective surgery.
- Investigate and validate insurance refund request to ensure their accuracy and legitimacy. Research payment history and claim details, submit corrected claims when appropriate, and contact insurance carriers to resolve discrepancies and determine the validation of the refund request.
- Entered CPT and ICD-10 codes into the billing system after they were assigned by the medical coder.
- Resolved escalated patient issues, stepping in to help team members handle difficult or complicated billing conversations.
- Credentialed new providers with Blue Cross, Medicare Medicaid and United Healthcare.
Revenue Cyle Management Part Time REMOTE
10 Years- Submitted electronic, paper claims and managed the daily resolution of rejected claim.
- Researched denied claims, identified billing issues, and resolved discrepancies.
- Followed up with insurance companies on unpaid claims and outstanding appeals.
- Reviewed medical claims for accuracy with ICD-10 and CPT coding standards before submitting to the clearinghouse.
- Posted insurance payments electronically and manually.
Office Manager, Medical Biller and Coder HYBRID
3 Years 1 Month- Managed the full revenue cycle , including, claims submission, payment posting, account reconciliation, denial management, and appeals
- Implemented policy and procedure to improve reimbursement.
- Maintain insurance and patient A/R under 90 days.
- Enter patient's demographics, and verify insurance prior to submitting a clean claim.
- Enter charges and submitted claims to the clearinghouse daily.
- Successfully coded for a general surgeon and collaborated with the physician to ensure accurate timely coding of medical records.
- Researched and corrected denied claims, resubmitted for reimbursement, and followed up promptly on appeals.
- Engaged with patients to address outstanding balances and facilitate resolution.
- Send out collection letters and delinquent patient letters monthly.
Medical Biller and Coder
3 Years 10 Months- Coded surgical procedures using ICD 9 and CPT codes.
- Identified and corrected billing errors, ensuring accurate claims processing.
- Resolved billing issues by contacting insurance companies/patients.
- Reviewed aging report and worked outstanding claims.
- Verified and updated patient demographic to reduce denials.
- Posted patient and insurance payments.
- Collaborated with patients to collect outstanding balances and resolve billing inquiries.
Education
- Medical Insurance Coding And Billing
Associate of Arts - General Studies
Skills
Medical Billing and Claims Processing
CPT and ICD-10 knowledge
EHR system expertise
Insurance Verification and Eligibility
Claim denial management and Appeal
Understanding of EOB details
Experienced with multiple insurance platforms
Credentialing
Software: Epic
Meditech
Cerner
eClinicalWorks
Tebra
AthenaHealth
Microsoft Excel
Team management
Detail-oriented multitasking
Able to work independently and in a team environment
Excellent communication
organization and analytic skills
Bilingual: English and Spanish
Timeline
Revenue Cyle Management Part Time REMOTE
Independent Physicians Medical Billing S.C
01.2015 - 01.2025Read More
Director of Billing
Progressive Surgical Associates S.C
06.2013 - CurrentRead More
Office Manager, Medical Biller and Coder HYBRID
West Suburban Surgical S.C
10.2010 - 11.2013Read More
Medical Biller and Coder
Associate General Surgeons S.C
12.2006 - 10.2010Read More
University Of Illinois
Associate of Arts from General Studies
Read More
Westwood College - O'Hare Airport
from Medical Insurance Coding And Billing
Read More