Bianca Montoya
Canutillo,TX
Summary
Certified Medical Coder. Certified in cms1500, and ICD-10. Familiar with commercial, private and Medicaid/Medicare insurance carriers. Desire a position in outpatient records coding. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Assured Benefits Administrators
01.2023 - Current
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Processed customer service orders promptly to increase customer satisfaction.
- Investigated and resolved customer inquiries and complaints quickly.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Met customer call guidelines for service levels, handle time and productivity.
Medical coder and BIller
Rio Grande Urology
10.2021 - 09.2022
- Coding and charging facility services for outpatient surgeries
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Coding and charging facility services for outpatient observations
- Utilized knowledge of CPT and ICD-10-CM to properly translate performed services into numerical code for insurance company reimbursements
- Assembled and input coding results into the EMR system and Practice Management billing system
- Analyzed medical records and assigned codes to diagnoses and procedures
- Utilized resource material in the department to support accurate coding practices
- Organized and filed medical records to be used for patient billing and account management
- Verified billable physician services by reviewing physician documentation.
Medical biller and coder
08.2018 - 10.2021
- Children’s pediatric practice -Reviewed member medical records for providers to verify diagnosis and procedural data
- Coded medical claims to obtain reimbursement from various insurance companies and governmental health programs
- Developed solid relationships with staff, patients, and insurance representative
- Troubleshoot problems and developed successful solutions
- Worked with Medicaid and Private Insurances
- Worked hand in hand with front office staff to ensure proper information was received for claims processing
- Revised patient bills for accuracy and completeness and obtained missing information
- Managed collections, including mailing of correspondence, working with patients to establish promissory notes for payment, and forwarding accounts to collection agency as needed
- Identified account discrepancies and issues that hindered claim payments
- Communicated with customers to provide account information
- Reviewed billing data to verify accuracy and resolve discrepancies.
Customer service
Alorica
04.2017 - 08.2018
- Kept abreast of rapidly evolving technology
- Generated leads for new sales through telephone and email contact with customers
- Responsible for ringing up customers in a timely manner and guaranteeing high level of customer service -Resolved product/policy issues and sharded benefits of new technology - Guaranteed positive customer experiences and resolved all customers complaints
Shift leader
Dollar general
02.2013 - 03.2017
- Complied with all company safety procedures, policies and regulations to promote a safe working environment
- Developed open and professional relationships with team members, enabling better, more effective issue resolution
- Mentored team members on techniques necessary to complete job tasks
- Integrated process improvements continuously to increase overall workflow
- Processed all sales transactions accurately and in a timely fashion
- Informed customers about sales and promotions in a friendly and engaging manner
- Answered customers' questions and addressed problems and complaints in person and via phone
- Stocked and rotated inventory regularly
- Managed cash stock and inventory balances accurately
- Worked as a team member performing cashier duties, product assistance and cleaning
- Maintained adequate cash supply in cash drawers in multiple checkout stations
- Trained new employees on company customer service policies and service level standards
- Accurately logged all daily shipping and receiving orders.
Education
High School Diploma -
Northwest Early College High School
Canutillo, TX06.2013
Medical - Biller And Coder
Southwest University At El Paso
El Paso, TX08.2018
Skills
- Data entry and management
- Time management
- Problem solving
- Decision making
- Analytical skills
- Standardized classification workflow
- Call Triaging
- Computer Proficiency
- Prioritization
- Active Listening
- Speaking
- Shipping and Receiving Understanding
- Microsoft Windows
Certification
- CPC-A - Certified Professional Coder
Timeline
Customer Service Representative
Assured Benefits Administrators
01.2023 - Current
Medical coder and BIller
Rio Grande Urology
10.2021 - 09.2022
Medical biller and coder
08.2018 - 10.2021
Customer service
Alorica
04.2017 - 08.2018
Shift leader
Dollar general
02.2013 - 03.2017
High School Diploma -
Northwest Early College High School
Medical - Biller And Coder
Southwest University At El Paso
- CPC-A - Certified Professional Coder
Similar Profiles
Andrew ZubiaAndrew Zubia
Accountant /Invoice Processor at Assured Benefits AdministratorsAccountant /Invoice Processor at Assured Benefits Administrators
Asia RutherfordAsia Rutherford
Operations Director- Level-Funded at Assured Benefits AdministratorsOperations Director- Level-Funded at Assured Benefits Administrators
Chase O'MalleyChase O'Malley
Web Developer at Gettysburg Benefits Administrators, IncWeb Developer at Gettysburg Benefits Administrators, Inc