Claudia Garcia
Pharr
Summary
Hard-working professional with 7+ years of experience and a proven knowledge of electronic claims processing. Aiming to leverage my skills to successfully fill the Medical Billing Specialist role at your company.
Overview
8
8
years of professional experience
Work History
Medical billing specialist
Shah Eye Center
10.2016 - 09.2022
- Using coded data to produce claims to insurance companies
- Appealing and reviewing denied and unpaid claims
- Verify patients' insurance coverage
- Answer patients' billing questions
- Handle collections on unpaid accounts
- Research all information needed to complete billing process among which are information from physicians and providers
- Review coding information about diagnosis on charge and procedures performed
- Review and add charge information into data entry program
- Process electronic data batches
- Maintain strict confidentiality
- Assist with error resolution and denial management.
ICD-10
South Texas Health Systems/ Coder
09.2022 - Current
- Audit Charts
- Communicate with the residents about correcting charts
- Upload completed clinical notes to HIM department
- Obtain Authorizations and Referrals
- Help front desk answer phones and make appointments for patients
- Verify benefits
- Work on correspondence
- Coding
- ICD-10
- CPT codes
- Use of 3M coding system.
Education
Medical Coding -
SOUTH TEXAS COLLEGE
McAllen, TX12.2016
General Equivalency Diploma -
SOUTH TEXAS COLLEGE
McAllen, TX09.2012
Medical Assistant -
SOUTH TEXAS VOCATIONAL TECHNICAL INSTITUTE
McAllen, TX06.2012
Skills
- Spanish speaking fair
- Microsoft windows
- Excel
- Word
- Problem solving
- Communication
- Work Well with other
Personal Information
Title: Medical billing specialist
Timeline
ICD-10
South Texas Health Systems/ Coder
09.2022 - Current
Medical billing specialist
Shah Eye Center
10.2016 - 09.2022
Medical Coding -
SOUTH TEXAS COLLEGE
General Equivalency Diploma -
SOUTH TEXAS COLLEGE
Medical Assistant -
SOUTH TEXAS VOCATIONAL TECHNICAL INSTITUTE
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