Brenda Cortez
Orlando,FL
Summary
Experienced medical biller with expertise in multitasking and efficient claims processing. Proven ability to resolve disputes with insurance companies and address patient inquiries effectively. Strong collaboration skills with medical professionals and clients to ensure accurate invoicing in high-pressure environments.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist
Women’s Care Florida
Orlando, FL
08.2024 - Current
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Checked claims coding for accuracy with ICD-10 standards.
- Performed insurance verification, pre-certification and pre-authorization.
- Provided customer service support to patients who had questions about their bills or payments due.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Reviewed and verified benefits and eligibility with speed and precision.
- Analyzed and interpreted patient medical and surgical records to determine billable services.
- Posted charges, payments and adjustments.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Barista Trainer
Starbucks
Orlando , FL
09.2022 - 08.2024
- Ensured compliance with local health regulations related to food preparation, storage, sanitation.
- Assessed skill levels of new and existing baristas, providing individualized training plans.
- Participated in regular meetings with store managers to discuss employee performance metrics.
- Enthusiastically engaged customers during busy periods to keep mood light and fun.
- Handled inventory, including ordering supplies, stocking products, and conducting regular inventory checks.
- Managed cash register and processed transactions with accuracy and integrity.
- Prepared and served coffee, espresso drinks, blended coffees and teas.
Medical Billing Specialist
Stockton Dermatology
Phoenix, AZ
02.2019 - 02.2022
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Responded to patient inquiries regarding insurance coverage and billing issues.
Appeals Specialist
Air Ambulance billing
Chandler, AZ
12.2017 - 01.2019
- Assisted customers with the appeals process, including providing guidance on how to submit an appeal.
- Maintained up-to-date knowledge of applicable laws, regulations, policies and procedures related to appeals processing.
- Demonstrated ability to work independently as well as collaboratively within a team environment.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
- Analyzed medical records to determine if further information was needed in order to process appeals.
Education
High School Diploma -
Mesa High School
Mesa, AZ05-2012
Some College (No Degree) -
Pima Medical Institute
Gilbert, AZSkills
- Claims processing
- Medical coding
- Insurance verification
- Account reconciliation
- Patient invoicing
- Time management
- Customer service
Languages
Spanish
Native/ Bilingual
Timeline
Medical Billing Specialist
Women’s Care Florida
08.2024 - Current
Barista Trainer
Starbucks
09.2022 - 08.2024
Medical Billing Specialist
Stockton Dermatology
02.2019 - 02.2022
Appeals Specialist
Air Ambulance billing
12.2017 - 01.2019
High School Diploma -
Mesa High School
Some College (No Degree) -
Pima Medical Institute
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