BEATRIZ L. CERNA
Pflugerville,TX
Summary
To find a position where I can grow as an individual and fully employ my qualifications to assist my team and prosper as a whole.
Overview
9
9
years of professional experience
Work History
Medical Biller/Medical Coding and Billing Specialist
Texas Oncology Cancer Center
2017.06 - 2019.10
- Processed medical billing claims using advanced coding systems for oncology services.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Completed overdue high volume denial claims amount to less than 10%.
- Oversaw medical billing processes ensuring compliance with healthcare regulations.
- Collaborated with healthcare providers to streamline charge capture procedures.
- Developed standardized workflows to reduce billing errors and improve turnaround time.
- Reduced errors in medical coding by cross-checking codes against diagnoses and procedures.
- Resolved complex billing issues by conducting thorough research, working closely with insurance providers to reach favorable outcomes for both parties involved.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Billing/Insurance Specialist
Little Tesoros Therapy Services
2013.07 - 2017.05
- Obtain commercial authorizations for claim payouts.
- Track AR for commercial policies identifying and resolving payer issues for denied claims; re submission of corrected claims.
- Composed effective accounting reports summarizing accounts payable data.
- Complete daily charge entry -created on average of 200 superbills with corresponding CPT and ICD-10 codes daily
- Train new employees in scheduling, intake process, authorizations,coding, past due balances,billing errors and explaining benefits.
- Diligently filed and followed up on third party claims.
- Researched CPT and ICDP-10 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
- Screened applicant resumes and coordinated both phone and in-person interviews.
- Developed company's first employee billing manual including comprehensive training materials and development for new hires and help with smooth transition into the medical billing team.
Medical Receptionist/ Billing
Kidtherapy Rehabilitation Center
2011.02 - 2013.01
- Managed a high-volume caseload and organized the daily schedules of Physical, Occupation and Speech Therapy patients.
- Prepared patient charts accurately and neatly for the clinic.
- Handled daily, weekly, monthly transactions on accounts.
- Obtained medical records from Doctors.
- Contacted doctor's office to obtain physician order and medical history.
- Verified patients eligibility and benefits
- Answered Billing questions.
- Obtained Pre-authorization for commercial policies.
- Composed and drafted all outgoing correspondence and reports for managers.
- Entered numerical data into databases in a timely and accurate manner.
Medical Assistant
Gynecologic Oncology Chattanooga Gyn-Oncology
2010.06 - 2011.01
- Monitored vital signs, such as blood pressure, body temperature, and pulse.
- Assist physicians with exams and procedures Chart notation; chief complaint, prescription list and medical history
- Changed sterile dressings.
- Set up all necessary instruments and equipment for Doctor procedures
- Maintained logs regarding lab work, pathology and inventory
- Verified insurance eligibility and benefits for new patients.
- Audited records for accuracy.
- Received and processed medical records requests.
- Managed patient scheduling and appointment coordination for gynecologic oncology procedures.
- Assisted in patient intake, documenting medical histories and vital signs accurately.
- Supported clinical staff during examinations, ensuring efficient workflow and patient comfort.
Education
Austin Community College
Austin, TX2008-01
High school diploma -
John B. Connally High School
Austin, TX2006-01
Skills
- Proficient in Raintree
- PracticeSuite software
- TheraOffice Medical
- Leonardo MD Software
- CPT Codes ICD-9, ICD-10 Diagnosis Codes
- HCPCS Coding
- Word, Excel, Outlook and other basic office programs
LANGUAGES
Fluent in Spanish
Timeline
Medical Biller/Medical Coding and Billing Specialist
Texas Oncology Cancer Center
2017.06 - 2019.10
Billing/Insurance Specialist
Little Tesoros Therapy Services
2013.07 - 2017.05
Medical Receptionist/ Billing
Kidtherapy Rehabilitation Center
2011.02 - 2013.01
Medical Assistant
Gynecologic Oncology Chattanooga Gyn-Oncology
2010.06 - 2011.01
Austin Community College
High school diploma -
John B. Connally High School