Christina BACA
Azusa,CA
Summary
Medical Billing and Healthcare Administrative Professional with extensive experience in insurance claims processing, verification of benefits, reimbursement negotiation, and patient coordination. Proven ability to manage Level 2 and Level 3 claims, resolve billing discrepancies, and ensure accurate payment posting. Skilled in Medicare, Medi-Cal, and commercial insurance guidelines, with strong attention to detail and problem-solving abilities. Bilingual in English and Spanish and committed to delivering excellent patient and provider support.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Zenith MD
03.2025 - Current
- Manage Level 2 and Level 3 insurance claims, ensuring precise processing, follow-up, and resolution.
- Perform Verification of Benefits (VOB) to confirm patient eligibility, coverage limits, and authorization requirements.
- Provide detailed service cost estimates to healthcare facilities based on verified insurance benefits.
- Conduct third-party negotiations with insurance companies to secure optimal reimbursement rates.
- Accurately post insurance payments, reconcile accounts, and process billing adjustments.
- Collaborate with insurance representatives and internal teams to resolve claim discrepancies.
- Processed and submitted medical claims to insurance providers, ensuring adherence to compliance standards.
Intake Coordinator
Owl Rexall Pharmacy
Glendora, CA
06.2020 - Current
- Coordinate Durable Medical Equipment (DME) orders and perform initial patient intake processing.
- Verify insurance eligibility, benefits, and authorizations for Medicare, Medi-Cal, and commercial plans.
- Communicate with patients, physicians, vendors, and discharge planners regarding orders and coverage.
- Provide patient support via high-volume phone communication and service inquiries.
- Track and follow up on pending orders daily to ensure timely processing.
- Maintain strict confidentiality and accurate patient documentation.
Instructor / Direct Support Professional
Peoples Care
West Covina, CA
06.2016 - Current
- Implement Individual Program Plans (IPP) to support clients with developmental disabilities.
- Assist with personal care, daily living activities, and vocational development.
- Transport clients to community activities and work programs when required.
- Document progress notes and client updates using the Relias system.
- Participate in assessment and program evaluation processes.
Education
Medical Billing -
North-West College
West Covina, CA10.2020
High School Diploma -
Glendora High School
Glendora, CA06.2012
Skills
- Medical Billing
- Insurance Claims Processing
- Verification of Benefits (VOB)
- Payment Posting & Reconciliation
- Medicare & Medi-Cal Guidelines
- Medical Terminology
- Customer Service
- Professional Phone Communication
- Accounts Payable / Receivable
- Data Entry & Documentation
- Microsoft Office
- Bilingual: English & Spanish
- 55 WPM Typing
Certification
- First Aid Certification
- DSP 1 Certification
- DSP 2 Certification
Timeline
Medical Billing Specialist
Zenith MD
03.2025 - Current
Intake Coordinator
Owl Rexall Pharmacy
06.2020 - Current
Instructor / Direct Support Professional
Peoples Care
06.2016 - Current
Medical Billing -
North-West College
High School Diploma -
Glendora High School