Bertha Aguirre
Hayward,ca
Summary
Eighteen years of Medical Billing Clerk with relevant background in FQHC healthcare . EPIC is the system that we use at RFHC. Strengths include accurate data entry, adept usage of medical billing software and understanding of insurance processes. Reducing errors in billing process. Committed to maintaining up-to-date knowledge of coding requirements for both private insurers and government-funded aid programs.
Overview
21
21
years of professional experience
Work History
Medical Billing Clerk
Ravenswood Family Health Center
East Palo Alto, California
01.2005 - Current
- Verified patient insurance information to ensure proper billing procedures.
- Maintained detailed records of patient accounts and billing transactions.
- Assisted patients with inquiries regarding their bills and insurance coverage.
- Collaborated with the coding team to ensure compliance with medical regulations.
- Trained new staff on billing procedures and software usage effectively.
- Processed electronic and paper claims to insurance companies in a timely manner.
- Assisted customers with setting up payment plans when necessary.
- WQ's Charge Review, Claim Edit, Follow up, Good Faith Estimate, Eligibilities, Quanam.
- Submitted corrections when necessary due to inaccurate coding or incorrect information provided by healthcare providers.
- Investigated any problems associated with the payment of claims, such as late or missing payments, or incorrect amounts paid by insurers.
- Followed up on unpaid claims with insurance companies as needed.
- Answered customer questions to maintain high satisfaction levels.
- Collected, posted and managed patient account payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Education
Computer And Advanced Clerical Certificate
OICW
1200 O'Brien Dr, Menlo Park, CA 9402501-2001
Exceutive Secretary
Julio Sierra A.C. Academy
Guadalajara, Mex01-1986
Skills
- Claims processing
- Claim submission
- Epic knowledge
- Insurance collections
- Billing codes
- Claims review
- Collection calls
- Attention to detail
- Billing and coding
- Medical coding
- Insurance verification
- Payment management
- Billing software usage
- Customer relationship management
Languages
English
Professional
Spanish
Professional
Timeline
Medical Billing Clerk
Ravenswood Family Health Center
01.2005 - Current
Computer And Advanced Clerical Certificate
OICW
Exceutive Secretary
Julio Sierra A.C. Academy
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