Catherine Mangandi
Hesperia,CA
Summary
Experienced medical biller specializing in accounts receivable and insurance verification. Skilled in EMR/PM systems such as Tebra, Allscripts, eClinicalWorks, and Intergy. Strong background in insurance claims processing and patient account management. Committed to delivering accuracy, efficiency, and exceptional service to patients and customers.
Overview
8
8
years of professional experience
Work History
Medical Biller
Tower Billing
10.2023 - Current
- Scan and process superbills received from provider offices
- Performed accounts receivable (A/R) follow-up with insurance carriers to ensure timely claim status updates
- Analyze denied claims to determine appropriate next steps, including reprocessing, appeals, or forwarding for further review
- Prepared and submitted appeals for denied claims, focusing on authorization-related denials to facilitate resolution
- Managed claim rejections by reviewing and correcting patient demographics, insurance information, and coding to enhance claims accuracy
- Review incoming emails and mail related to billing and claims
- Handle daily patient phone calls regarding balances, billing questions, and account updates
- Contact patients to collect outstanding balances and update demographic information
- Verify insurance eligibility and benefits through payer portals
- Enter and update insurance information in patient accounts
- Checked insurance information to address denials and rejections
- Process secondary claims and ensure primary EOBs are attached appropriately
- Received and processed patient payments efficiently at the front desk.
- Investigate paid claims to ensure payments are sent to the correct payee/address
Stower
Amazon Fulfillment Center
08.2022 - Current
- Conducted inspections for damage and improper labeling to uphold quality standards
- Placed items in storage unit in a timely manner
- Kept work space and equipment safe and clean to promote a productive environment
Server/Host
Norms Restaurant
06.2018 - 11.2019
- Ensured every guest received a warm greeting to enhance their dining experience.
- Assisted coworkers during peak hours while serving food promptly to ensure customer satisfaction
- Ensured tables were clean and orderly for next guests
Education
Medical Billing & Coding Certification -
North-West College
West Covina, CA10-2023
Skills
- Claims Management
- Billing and collections
- Insurance Verification
- Insurance Claims Follow-Up
- A/R follow-up
- Denial resolution
- Appeals management
- Appeals Preparation
- Secondary Claims Processing
- Coordination of Benefits
- Data entry accuracy
- Multitasking / Time Management
- Problem Solving
- HIPAA Compliance Awareness
- Patient Communication
Timeline
Medical Biller
Tower Billing
10.2023 - Current
Stower
Amazon Fulfillment Center
08.2022 - Current
Server/Host
Norms Restaurant
06.2018 - 11.2019
Medical Billing & Coding Certification -
North-West College