Claudia Espinoza
Dallas,Texas
Summary
Analytical Medical Biller successful at resolving disputes and billing inquiries. Detail-oriented individual with three years of experience performing intricate billing procedures with undeniable level of detail which will allow me to thrive in the new position of Patient AR specialist at Beacon Oral Specialist.
Overview
9
9
years of professional experience
Work History
Insurance Specialist
Beacon Oral Specialist
07.2024 - Current
- Verifying patient health insurance benefits.
- Analyze and interprets medical documentation effectively.
- Resolving coverage and payment issues.
- Differentiates between EOBs and ERAs.
- Checked the status of claims using Dental Delta, Dental Xchange, Metlife portals, etc.
- Used REVapp to search for payments.
- Reviewed accounts and sent bills through winOMS whether or not they were patient responsibility.
Medical Billing Specialist
Child and Family Guidance Center
01.2023 - 06.2023
- I worked in a behavioral health clinic.
- Checked for voicemails and answered calls.
- Verified patient information by making sure the patient's policy number and group ID are accurate before submitting the bill into a software used by the clinic.
- Updated and made corrections for each patient personal information/insurance.
Medical Billing Specialist
ECJ Billing
08.2021 - 01.2023
- I worked in a third party that dealt with hospitals and clinics.
- Completed and submitted appeals for denied claims.
- Input details into accounts and tracked payments.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Applied HIPAA privacy and security regulations while handling patient information.
Cashier
Perot Museum of Nature & Science
06.2016 - 03.2020
- Collected fees and tickets from group members.
- Answered questions, pointed out overlooked features and offered further details about special exhibits to educate visitors.
- Greeted and registered visitors, issuing required identification badges or safety devices.
- Monitored visitors' activities to confirm compliance with establishment or tour regulations and safety practices.
- Described tour points of interest to group members, responding to general inquiries and questions.
- Greeted and assisted customers with booking reservations and answering additional questions, both in person and over phone.
- Handled money according to company policy.
Education
Associate of Science -
El Centro College
Dallas, TXHuman Resources Management | In Progress
University of North Texas
FriscoSkills
- Billing
- Error Revision
- Verbal and Written Communication
- Adaptability
- Bilingual-English and Spanish
- Microsoft 360
- Used Teams to communicate with supervisors and coworkers
- Knowledge in winOMS Software
- Proficient in Excel spreadsheet
- Customer service
Timeline
Insurance Specialist
Beacon Oral Specialist
07.2024 - Current
Medical Billing Specialist
Child and Family Guidance Center
01.2023 - 06.2023
Medical Billing Specialist
ECJ Billing
08.2021 - 01.2023
Cashier
Perot Museum of Nature & Science
06.2016 - 03.2020
Associate of Science -
El Centro College
Human Resources Management | In Progress
University of North Texas
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