Summary
Overview
Work History
Education
Skills
Certification
Languages
References
qualifications skills summary
Timeline
Generic

Belma Sandoval

Glendale,AZ

Summary

With over 10 years of experience in Medical Billing, Accounts Receivable, and complex claims resolutions, I am seeking a new remote career opportunity. Excellent with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Complex Hospital Billing Team Lead

Enablecomp
01.2020 - Current
  • Managed a team of Ten billing specialists for timely and accurate invoice generation payment postings and claim denials
  • Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
  • Inpatient and Outpatient Medical Claims
  • Improved cash flow by promptly posting payments and reconciling accounts on a daily basis.
  • Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.

Medical Billing & Coding

Phoenix Pediatrics
01.2015 - 01.2020
  • Responsible for completing all Professional billing tasks for 2 offices and 7 providers
  • Tasks included working in Allscripts sending of call claims, editing claim rejections, Correcting and appealing claims, collecting patient balances, reading and posting all insurance EOB to patient accounts, and answering all billing calls and questions.
  • Contacted insurance companies for patient medical billing operations.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.

Medical Prior Authorization Specialist

Sun Radiology
01.2014 - 01.2015
  • Verified all health plans benefits and eligibility
  • Calculated patients deductibles coinsurance and copays based on insurance fee schedules
  • Obtained auth for MRI, CT, ULTRASOUND.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.

Scheduler and Authorization Specialist

Desert Valley Radiology
01.2007 - 01.2014
  • Scheduling patients for an extremely busy radiology facility, providing patient care with quick appointment times and accurate preparations
  • Checking patients in for their appointment, Collecting copays and deductibles, providing patients affordable payment options to meet their financial situations
  • Insurance verification, checking on all active coverage eligibility and benefits, requesting and following up on referrals and clinical notes
  • Obtained auth’s for all diagnostic testing.

Education

Nursing -

Glendale Community College
01.2009

Medical Billing & Coding -

U.S Career Institute
01.2008

High School Diploma -

Greenway High School
01.2007

Skills

  • Compliance Knowledge
  • Payment Processing
  • Industry Expertise
  • Payment Posting
  • Data Entry Proficiency
  • Collections
  • Billing Systems and Software
  • Claim Submission

Certification

HFMA Certified, Medical Billing and Coding Certification.

Languages

Croatian
Professional Working
Serbian
Professional Working

References

References available upon request.

qualifications skills summary

  • 10 years billing experience in HCFA and UB-04
  • Highly motivated and willing to learn everyday
  • Excellent independent employee and multi tasking skills with no supervision.
  • Strong ability to work well under pressure and be accurate and efficient.
  • Extensive computer knowledge of Microsoft Word, Excel, EMR clinicals, Change Healthcare, EPIC experience and 50 WPM.
  • Bilingual: English and Bosnian.
  • Highly experienced on payer portals, and posting eobs, denials and working appeals. EMR experienced.
  • Knowledgeable in ICD-10, crossover claims, complex claims, IP and OP claims.
  • HFMA Revenue Cycle Certification

Timeline

Complex Hospital Billing Team Lead

Enablecomp
01.2020 - Current

Medical Billing & Coding

Phoenix Pediatrics
01.2015 - 01.2020

Medical Prior Authorization Specialist

Sun Radiology
01.2014 - 01.2015

Scheduler and Authorization Specialist

Desert Valley Radiology
01.2007 - 01.2014

Nursing -

Glendale Community College

Medical Billing & Coding -

U.S Career Institute

High School Diploma -

Greenway High School
Belma Sandoval