Arlene A Tapia
Bakersfield
Summary
Experienced Medical Biller with expertise in healthcare billing, coding, and compliance. Proven track record of enhancing payment collection processes and maintaining accurate patient records. Strong analytical and problem-solving skills contribute to operational efficiency.
Overview
12
12
years of professional experience
Work History
Medical Biller
Priority Urgent Care
11.2023 - Current
- Processed patient claims using electronic billing systems efficiently.
- Verified insurance information for accuracy and completeness.
- Communicated with insurers to resolve billing discrepancies promptly.
- Maintained patient accounts and updated billing records regularly.
- Handled patient inquiries regarding billing issues and payment plans.
- Collaborated with healthcare providers to ensure proper coding of services.
- Conducted audits of claims to ensure compliance with regulations.
Medical Billing/AR
Peck Counseling Services
03.2018 - 06.2024
- Verified coverage and eligibility for all patients.
- Responsible for all phases of billing, including policies and procedures for specific financial class assignments.
- Prepared, inputted, and finalized claims for reimbursement, including tracers' resubmissions and retroactive billing.
- Prepare claims inquiries and follow up in a timely manner to maximize reimbursement.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Customer Service Rep
Physicians Plaza Pharmacy
11.2020 - 03.2023
- Maintaining a positive, empathetic, and professional attitude toward customers at all times.
- Responding promptly to customer inquiries.
- Communicating with customers through various channels.
- Acknowledging and resolving customer complaints.
- Knowing our products inside and out so that you can answer questions.
- Processing orders, forms, applications, and requests.
- Keeping records of customer interactions, transactions, comments, and complaints.
- Communicating and coordinating with colleagues as necessary.
- Providing feedback on the efficiency of the customer service process.
- Managing a team of junior customer service representatives.
- Ensure customer satisfaction and provide professional customer support.
Medical Billing/AR
Janelle Goh Counseling LCSW
03.2018 - 10.2020
- Responsible for all A/R authorizations, monthly reports, post payments/adjustments, code outpatient services using ICD9 and CPT coding to ensure full reimbursement.
- Entered patient appointments, verified insurance.
Accounts Receivables/Medical Billing
Psychiatric Medical Practitioners
Bakersfield
07.2017 - 03.2018
- Filed medical records and managed insurance forms.
- Acted as a liaison between the patient and the insurance agency.
- Established payment arrangements within departmental guidelines and completed promissory notes.
- Documented terms clearly in EMR software database and set up patient contract.
- Performed insurance verification as needed, documented in EMR and made appropriate notification to patient regarding liability.
- Accurately posted payments for all monies deposited in bank within 72 hours of deposit utilizing appropriate journal name and batch naming convention.
- Performed the appropriate adjustment and transfers balance to secondary insurance or guarantor as applicable.
Administrative Assistant/ Accounts Receivables
Foot & Ankle Institute
Bakersfield
02.2016 - 12.2016
- Kept all patient files organized and maintained the front office.
- Filed medical records and managed insurance forms.
- Acted as a liaison between the patient and the insurance agency.
- Established payment arrangements within departmental guidelines and completed promissory notes.
- Performed insurance verification as needed, documented in EMR and made appropriate notification to patient regarding liability.
Compliance Auditor
Centre for Neuro Skills
Bakersfield
06.2014 - 03.2015
- Resolved operational problems by identifying and recommending opportunities to strengthen the internal control structure.
- Met cost standards by monitoring expenses and implementing cost-saving actions.
- Ensured compliance with regulations and controls by examining and analyzing records, reports, operating practices and documentation.
- Verified assets and liabilities by comparing items to documentation.
- Completed audit work papers and memorandums by documenting audit tests and findings.
- Communicated audit progress and findings by preparing reports; providing information in meetings.
- Supported external auditors by coordinating information requirements.
- Provided management reports by collecting, analyzing and summarizing operational information.
Education
Bachelor of Science - Organizational Management/Public Administration
University Of La Verne
La Verne, CAClinical Administration - Medical Assisting
San Joaquin Valley College
Bakersfield, CAAccounting -
Santa Barbara Bus. College
Bakersfield, CASkills
- Claim processing and insurance verification
- Medical coding
- Accounts management and compliance auditing
- Customer relationship management
References
Upon request
Timeline
Medical Biller
Priority Urgent Care
11.2023 - Current
Customer Service Rep
Physicians Plaza Pharmacy
11.2020 - 03.2023
Medical Billing/AR
Peck Counseling Services
03.2018 - 06.2024
Medical Billing/AR
Janelle Goh Counseling LCSW
03.2018 - 10.2020
Accounts Receivables/Medical Billing
Psychiatric Medical Practitioners
07.2017 - 03.2018
Administrative Assistant/ Accounts Receivables
Foot & Ankle Institute
02.2016 - 12.2016
Compliance Auditor
Centre for Neuro Skills
06.2014 - 03.2015
Bachelor of Science - Organizational Management/Public Administration
University Of La Verne
Clinical Administration - Medical Assisting
San Joaquin Valley College
Accounting -
Santa Barbara Bus. College