Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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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, TX
12.2016

General Equivalency Diploma -

SOUTH TEXAS COLLEGE
McAllen, TX
09.2012

Medical Assistant -

SOUTH TEXAS VOCATIONAL TECHNICAL INSTITUTE
McAllen, TX
06.2012

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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Claudia Garcia