Austrea Cardenas
Las Vegas,NV
Summary
Over the last several years I have gained extensive experience in medical billing procedures and coding standards, my most recent role provided me with the opportunity to establish billing workflows and assist in the implementation of new Electronic Health Record (EHR) systems and billing practices. My meticulous attention to detail and robust analytical abilities enable me to ensure the accuracy of claim submissions and resolutions. Additionally, my comprehensive knowledge of insurance guidelines and healthcare regulations consistently delivers precise billing operations.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Journey Forward Autism
Las Vegas, NV
09.2025 - Current
- Processed claims using advanced medical billing software to ensure accuracy and compliance.
- Reviewed patient accounts for accurate coding and timely submission of claims.
- Assisted in training new staff on billing protocols and software utilization.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Verified insurance of patients to determine eligibility.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Located errors and promptly refiled rejected claims.
- Posted and adjusted payments from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Provided support during the implementation of new billing systems, ensuring seamless transition for staff.
Medical Billing Specialist
Grant A Gift Autism Foundation
Las Vegas, NV
07.2024 - 03.2025
- Streamlined medical claims processing with specialized billing software, ensuring prompt and accurate reimbursements.
- Conducted thorough reviews of patient accounts, resolving discrepancies and confirming compliance with established regulations.
- Facilitated communication with healthcare providers to resolve billing inquiries and enhance operational efficiency.
Medical Billing Specialist
Sandstone Medical Solutions
Las Vegas, NV
06.2023 - 05.2024
- Oversaw the processing and submission of medical claims to various insurance providers, adhering to regulatory standards and accuracy requirements.
- Guided new team members through billing procedures and software systems to improve overall team performance.
- Coordinated discussions with insurance providers to effectively resolve denied claims and execute resubmission processes.
- Reviewed and resubmitted rejected claims, enhancing accuracy and compliance.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Posted payments and collections on regular basis.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
Education
Associate of Science - Health Care Administration
Northwest Career College
Las Vegas, NV10.2025
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Insurance billing
- Data entry
- Medical terminology
- Customer service
- Account follow-up
- Administrative support
Certification
Certified Billing and Coding Specialist through National Healthcare Association
Certification # F8K4L5P7
Timeline
Medical Billing Specialist
Journey Forward Autism
09.2025 - Current
Medical Billing Specialist
Grant A Gift Autism Foundation
07.2024 - 03.2025
Medical Billing Specialist
Sandstone Medical Solutions
06.2023 - 05.2024
Associate of Science - Health Care Administration
Northwest Career College