Astrid Perez
GREENVILLE,SC
Summary
Certified Professional Medical Billing Manager with a strong legal background and focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Billing Manager
Kids Choice Pediatrics
Greenville, SC
01.2021 - Current
- Prepare, review and transmitted electronic claims using third party billing software.
- Medical Records Reviewer.
- Verified, coded procedures /diagnosis and modifiers as needed.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Review, Adjusted and corrected claims for appropriate resubmission.
- Denial and Insurance follow-up.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Eligibility/Referral Verification.
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providers.
- Adheres to HIPAA/State/Federal Guidelines.
Engineer Assistant
City Of Greenville
Greenville, SC
06.2019 - 05.2020
- Provide customer support pertaining for service calls.
- Track and monitor new permit requests and ensure all permits were assigned for engineering review.
- Processing of approved site drawings by electronically stamping, scanning and development administration.
- Provice project account tracking reports and various financial information.
- Process invoices and purchase orders.
- Gathered relevant data from various sources and developed comprehensive reports for leadership review.
Medical Billing Specialist
Dr. Antolin Perez
Louisville, KY
05.2010 - 04.2019
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Translated medical documents in English and Spanish.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Legal Assistant
K&L Gates
Miami, Florida
05.2005 - 06.2009
- Managed accounts and client records of clients, observing confidentiality and extreme discretion.
- Reviewed pending cases and conduct legal research.
- Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes.
- Completed electronic filings, initiated billing statements and managed firm administrative matters.
- Invoiced clients for legal fees.
- Prepared travel arrangements for firm's attorneys.
- Assisted attorneys with case organization and administrative tasks.
- Maintained and updated files and databases for personnel records and financial reports.
Education
Bachelor of Science - Business Administration And Management
Universidad De Malaga
Malaga, Spain04.2000
Associate of Science - English
University of Louisville
Louisville, KY04.1996
Skills
- Bilingual (Spanish) - Fluent
- Data Entry
- Medical Biller
- Microsoft Office Suite
- G Suite - Workplace
- Medical Terminology
- Legal Terminology
- Medical Records Reviewer
- CPT/ICD-10 Coding
- State/Medicaid/Medicare Regulations
- Athenahealth Billing Software
Languages
Spanish
Native or Bilingual
Certification
Professional Medical Biller, CPB
AAPC
Timeline
Medical Billing Manager
Kids Choice Pediatrics
01.2021 - Current
Engineer Assistant
City Of Greenville
06.2019 - 05.2020
Medical Billing Specialist
Dr. Antolin Perez
05.2010 - 04.2019
Legal Assistant
K&L Gates
05.2005 - 06.2009
Bachelor of Science - Business Administration And Management
Universidad De Malaga
Associate of Science - English
University of Louisville
Professional Medical Biller, CPB
AAPC
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