Ashley Penaloza
Medical Coding And Billing
Riverside,US
Summary
Results-driven Medical Biller with extensive experience at LaSalle, adept at claims processing and patient account analysis. Proven ability to enhance patient satisfaction through clear communication and effective resolution of denied claims. Skilled in insurance billing and collaboration with healthcare teams to ensure accurate documentation and seamless operations.
Overview
5
5
years of professional experience
1
1
Certification
2
2
Languages
Work History
Medical Biller
LaSalle
06.2022 - 11.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Medical Biller and Coder
Raincross Medical Group
01.2020 - 05.2022
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Coordinated with patients to ensure accurate processing of Medicare, Medicaid, and private insurance claims and liaised with insurance representatives
- Processed payments, insurance claims, and adjustments, gathered patient information, and performed reviews to reduce risk of billing errors
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Education
CBCS Certified - Medical Billing And Coding
CALRegional
10-2025
Skills
Claims review
Medical transcription
Billing and collection procedures
Clerical support
Claims processing
Claim submission
Patient account analysis
Insurance claims processing
Patient billing
Insurance claims
Payment posting
Operations support
Insurance billing
Medical claims submission
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
Certification
CBCS certification
Timeline
Medical Biller
LaSalle
06.2022 - 11.2024
Medical Biller and Coder
Raincross Medical Group
01.2020 - 05.2022
CBCS Certified - Medical Billing And Coding
CALRegional
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