Highly efficient Medical Billing Specialist with 18 years of experience in billing and coding. Excellent multitasking, meeting deadlines, and demonstrated team player with a positive attitude. Passionate and motivated, with a drive for excellence and willingness to learn.
Overview
11
11
years of professional experience
Work History
Collections Specialist
BioMatrix Specialty Pharmacy
Plantation, FL
08.2021 - 03.2025
Assisted in processing insurance claims for timely collections. Supported team efforts to maintain accurate records of outstanding payments. Collaborated with clients to resolve billing inquiries effectively.
Oversaw accounts receivable management for 30, 60, and 90+ day periods.
Achieved timely resolution of claim denials through proactive follow-up with insurance companies.
Facilitated submission of appeals to ensure compliance with regulatory standards.
Ensured meticulous maintenance of clean and accurate documentation for all claims.
Business Office Specialist
Covenant Living of Florida
Plantation, FL
09.2019 - 02.2020
Oversaw bookkeeping operations, including invoice management and accounts payable/receivable processes.
Ensured accuracy of resident records and input data into company systems.
Streamlined administrative operations to enhance resident services billing support and record management.
Facilitated courteous and professional communication with residents, families, and staff to address needs promptly.
Reimbursement Specialist II
Envision Physician Services
Plantation, FL
01.2019 - 06.2019
Conducted comprehensive research on contracted and non-contracted carrier and self-pay accounts to ensure accurate payment processing.
Optimized communication processes with insurance companies to enhance claims payment verification accuracy.
Resubmitted improperly paid or denied claims to carriers for resolution and accurate reimbursement processing.
Assisted in identifying errors in claim processing related to data entry verification and coding mistakes. Supported accurate documentation of accounts to maintain compliance.
Billing Specialist
ProHealth Select
Boca Raton, FL
07.2018 - 11.2018
Supervised all aspects of billing, including meticulous oversight of electronic and paper claims submission procedures.
Conducted thorough analysis and resolution of insurance denials and EDI rejections, ensuring timely and accurate claims processing.
Achieved timely resolution of claims follow-up and appeals for corrected claims. Enhanced accuracy of claim status records. Contributed to team success by resolving discrepancies in claims submissions.
Achieved efficient processing of patient payments and claims, contributing to streamlined revenue cycle operations. Maintained precise financial records by accurately posting payments to patient accounts. Resolved payment posting discrepancies through effective collaboration with team members, enhancing overall operational accuracy.
Achieved timely patient payment collections through effective charge entry and collection support. Contributed to the accuracy of billing records, ensuring financial integrity. Enhanced team performance in billing processes.
Coordinated interactions with providers and medical professionals to guarantee compliance with established billing and documentation protocols.
Billing Coordinator
Soffer Health Institute
Aventura, FL
09.2014 - 07.2017
Managed all facets of billing operations to ensure accurate electronic and paper claims submission.
Investigated and rectified insurance denials and gateway rejections to maintain operational efficiency.
Oversaw claims follow-up processes and managed appeals for corrected claims. Coordinated with cross-functional teams to enhance claims resolution strategies. Developed streamlined procedures to improve accuracy and efficiency in claims handling.
Oversaw patient payment posting processes to enhance accuracy and efficiency. Managed claims payment posting to ensure compliance with financial protocols. Trained junior staff on best practices for payment processing.
Managed patient collections to enhance financial performance and maintain cash flow.
Education
High School Diploma -
North Miami Sr HS
North Miami, FL
Certificate - Medical Billing & Coding
National School of Technology (NST)
Fort Lauderdale, FL
02.2005
Skills
Applied comprehensive knowledge of medical terminology to ensure accurate ICD-9/10, CPT, and HCPCS coding compliance
Employed electronic medical records (EMR) systems and billing software to streamline data management processes
Performed in-depth examination of datasets to uncover payment discrepancies, ensuring accurate billing resolution
Implemented systematic organization of confidential records to enhance compliance and ensure data integrity
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical GroupEOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical Group