Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Briana Vela

Carmichael,California

Summary

Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.

Overview

3
3
years of professional experience

Work History

Medical Biller

Sacramento NeuroPsych Associates
Sacramento, California
07.2024 - Current
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Submitted electronic claims to various insurance carriers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.
  • Completed and submitted appeals for denied claims.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.

Medical Coder

Dignity Health
Sacramento, California
01.2022 - 07.2024
  • Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
  • Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.
  • Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
  • Assisted in the development of coding guidelines and policies.
  • Maintained up-to-date knowledge of coding changes, updates, and new rules.
  • Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.

Medical Biller

Children's Choice Pediatric Dentistry
Sacramento, California
07.2021 - 01.2022
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Submitted electronic claims to various insurance carriers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.

Education

CMRS/CCA - Medical Coding And Billing

MTI
Sacramento, CA
10-2017

Skills

  • Account Reconciliation
  • HIPAA Compliance Certification
  • Medical Transcription
  • Records Management
  • Claims Processing
  • Billing and Collection Procedures
  • Teamwork and Collaboration
  • Multitasking and Organization
  • Commercial and Private Insurance
  • Submission of medical claims

Languages

Spanish
Native/ Bilingual
ASL
Professional

Timeline

Medical Biller

Sacramento NeuroPsych Associates
07.2024 - Current

Medical Coder

Dignity Health
01.2022 - 07.2024

Medical Biller

Children's Choice Pediatric Dentistry
07.2021 - 01.2022

CMRS/CCA - Medical Coding And Billing

MTI

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Briana Vela