Summary
Overview
Work History
Education
Skills
Timeline
Generic

Charrish Silva

Fort Bragg,CA

Summary

Dynamic Medical Billing Representative with a proven track record at Adventist Health Mendocino Coast, skilled in optimizing revenue cycle management and reducing claim denials. A dedicated team player with a continuous learning attitude, I excel in fostering collaboration and enhancing organizational growth while leveraging my knowledge of insurance contracts to drive efficiency.

Professional in medical billing with proven track record of optimizing revenue cycles and ensuring accurate claims processing. Strong ability to collaborate with teams and adapt to changing requirements while maintaining high standards. Skilled in insurance verification, and resolving billing discrepancies. Reliable and results-driven, with focus on achieving efficient and compliant billing operations.

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Driven Medical Biller motivated to perform beyond expectations.

Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Demonstrates strong communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

25
25
years of professional experience

Work History

Medical Billing Representative

Adventist Health Mendocino Coast
11.2020 - Current
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Conducted periodic audits of billing records to identify errors or inconsistencies, ensuring proper documentation for future reference.
  • Promptly sent out and posted all medical claims.
  • Improved efficiency of the billing process through streamlining workflows and implementing automation tools.
  • Optimized revenue cycle management by analyzing trends in denials and identifying areas for improvement in the billing process.
  • Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
  • Expedited the claims submission process by using electronic health record systems efficiently, reducing time spent on manual tasks.
  • Contributed to the development of internal policies related to medical billing procedures, promoting consistency across departments.
  • Supported team members in resolving complex cases, applying problem-solving skills to reach favorable outcomes for all parties involved.
  • Prevented fraudulent activities through vigilant review of suspicious claims patterns, alerting relevant authorities as needed.
  • Ensured timely payments from patients and insurance providers by monitoring outstanding balances and initiating collection efforts when necessary.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Liaised between patients, insurance companies, and billing office.
  • Delivered timely and accurate charge submissions.
  • Responded to customer concerns and questions on daily basis.
  • Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
  • Reduced claim denials by diligently following up with insurance companies and promptly addressing any discrepancies.
  • working with team members to adequately identify issues and resolve quickly.
  • Help train new employees to the department to understand job duties and tasks assigned.




Medical Staff Assistant/Coordinator-Quality/Risk

Adventist Health Mendocino Coast
09.2017 - 11.2020


  • Enhanced the overall hospital environment by assisting in coordinating staff schedules and allocating resources.
  • Developed strong relationships with colleagues from diverse backgrounds, promoting a collaborative work atmosphere that benefited all staff members involved.
  • Bolstered patient satisfaction levels by consistently delivering exceptional service and addressing concerns in a timely manner.
  • Credentialed all physician applicants
  • Insurance credentialed all physicians accepted by medical staff review in all insurance contracts.
  • attended all medical staff meeting to take minutes for minute reports for next meeting including MEC, Quality, Surgery and Medical staff
  • scheduled meetings with all incoming physicians to orient all departments.
  • worked with Quality Review as a dual task.
  • put in for all Quality Reviews for patient charts on all complaints.
  • followed all Quality Review statistics for Compliance
  • worked close with the Risk Management for all Risk assesments


Medical Billing Representative

Mendocino Coast District Hospital
08.2007 - 08.2020
  • Established a positive work environment through open communication channels and active participation in team meetings, fostering a culture of collaboration and growth.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Participated in quality assurance initiatives aimed at improving overall accuracy rates within the medical billing department.
  • Reduced claim denials by diligently following up with insurance companies and promptly addressing any discrepancies.
  • Performed billing and coding procedures for ambulance, emergency room, impatient, and outpatient services.
  • Collaborated with healthcare providers to resolve billing issues, fostering strong professional relationships for better communication.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Enhanced customer satisfaction by providing clear explanations of charges on bills, addressing concerns with patience and empathy.
  • Served as a liaison between patients, insurance companies, and healthcare providers to facilitate accurate claims processing and payment resolution.
  • Diligently filed and followed up on third party claims.
  • Maintained HIPAA compliance while managing confidential patient data, enhancing security measures for sensitive information.
  • Collected payments and applied to patient accounts.
  • Handled account payments and provided information regarding outstanding balances.
  • Collaborated with customers to resolve disputes.
  • Maintained accurate records of customer payments.

Outpatient Coordinator for Surgery and Outpatient

Mendocino Coast District Hospital
09.2004 - 08.2007
  • Streamlined check-in procedures, improving efficiency within the outpatient department.
  • Collaborated with interdisciplinary teams to provide comprehensive care for patients during their visits.
  • Developed strong relationships with physicians by maintaining open lines of communication and collaboration.
  • put charts together for procedure ordered.
  • ordered testing needed by ordering provider
  • scheduled procedures ordered by ordering providers
  • assisted in supplying supplies for procedures in operations.
  • answer phones and answered questions on pt status and provider status

Orthopedic Office of Dr. Ayers and Dr. Lagomarsino

Orthopedic Office
11.2005 - 04.2006
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Worked well in a team setting, providing support and guidance.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Organized and detail-oriented with a strong work ethic.
  • Paid attention to detail while completing assignments.
  • scheduled patients for appointments
  • scheduled surgeries as requested
  • per diem on slow census at the hospital

Certified Nursing Assistant

Mendocino Coast District Hospital
10.2000 - 10.2004
  • Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
  • Assisted patients with daily living activities for enhanced comfort and wellbeing.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
  • Transcribe doctor orders and ordered testing requested.
  • Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
  • Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
  • Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
  • Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
  • Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
  • Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
  • Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
  • Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.

Education

Certified Nursing Assistant

Sherwood Oaks Health Care
Fort Bragg, CA
08-1995

High School Diploma -

Fort Bragg High School
Fort Bragg, CA
05-1987

Skills

  • Continuous learning attitude
  • Organizational growth
  • Always wanting to learn more
  • Always helping others for job performance
  • knowledge of insurance companies and contracts
  • Always a team player

Timeline

Medical Billing Representative

Adventist Health Mendocino Coast
11.2020 - Current

Medical Staff Assistant/Coordinator-Quality/Risk

Adventist Health Mendocino Coast
09.2017 - 11.2020

Medical Billing Representative

Mendocino Coast District Hospital
08.2007 - 08.2020

Orthopedic Office of Dr. Ayers and Dr. Lagomarsino

Orthopedic Office
11.2005 - 04.2006

Outpatient Coordinator for Surgery and Outpatient

Mendocino Coast District Hospital
09.2004 - 08.2007

Certified Nursing Assistant

Mendocino Coast District Hospital
10.2000 - 10.2004

Certified Nursing Assistant

Sherwood Oaks Health Care

High School Diploma -

Fort Bragg High School
Charrish Silva