Claudia Romano
Wrentham,MA
Summary
Detail-oriented Medical Billing and Collections Specialist with extensive expertise in healthcare revenue cycle management and insurance reimbursement procedures. Demonstrated success in resolving claims and reducing outstanding accounts receivable balances, while enhancing billing processes to drive operational efficiency. Proficient in advanced medical billing software, with strong analytical abilities that support high-volume task management.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Medical Billing and Collections Specialist
ProEms Solutions
Cambridge, USA
05.2022 - 01.2025
- Process and submit medical insurance claims electronically, ensuring accuracy and timely submission.
- Manage accounts receivable, track outstanding balances, and follow up on delinquent accounts.
- Analyze claim denials, resolve discrepancies, and collaborate with insurance providers to secure payments.
- Ensure compliance with HIPAA regulations, and maintain patient confidentiality.
- Utilize software such as Zoll, Availity, and NSG for claims processing and account management.
Salon Owner/Operator
Salon Innovations
Needham, USA
04.1999 - 06.2024
- Managed daily operations, including scheduling, inventory control, and customer service
- Handled financial transactions, bookkeeping, and budgeting
- Trained and supervised employees to maintain high service standards
- Developed marketing strategies and built strong customer relationships
Billing and Coding Associate
Brewster Ambulance
Weymouth, USA
01.2020 - 05.2022
- Verified insurance eligibility and benefits for patient claims
- Processed and submitted insurance claims using medical coding standards (ICD-10, CPT)
- Researched denied or rejected claims, identifying errors and taking corrective action
- Maintained accurate financial records and reconciled payments
- Assisted in compliance with healthcare reimbursement regulations and HIPAA policies
EMT-Basic
Brewster Ambulance
Weymouth, USA
03.2014 - 01.2020
- Provided emergency medical care and patient transportation in both urgent and non-urgent situations.
- Assessed patient conditions, administered first aid, and documented treatments.
- Ensured compliance with emergency protocols, and maintained up-to-date certifications.
Education
Certification in Medical Billing & Coding - CAC
NCCR
05-2022
Cosmetology License -
BoJack's Beauty School
West Roxbury05.1991
Basic EMT Training -
Emergency Medical Technician School of Norwood
Norwood, MA01.1991
High School Diploma -
St. Clare's High School
Roslindale06.1990
Skills
- Medical Billing and Coding (ICD-10, CPT)
- Claims processing and denial management
- HIPAA Compliance and Patient Privacy
- Insurance Verification and Reimbursement
- Accounts Receivable and Collections
- CMS-1500 Form Expertise
- Billing Software: Zoll, Parallels, Availity, NSG, and Waystar
- Customer Service and Problem-Solving
- Multitasking and time management
- Microsoft Office Suite and Data Entry
- Claims processing
- Team collaboration
- Attention to detail
- Medical billing software proficiency
- Accounts Receivable Management
- Medical billing
- Patient billing assistance
Languages
- Italian, Fluent
- Spanish, Intermediate
Certification
- EMT Basic- License
- NCCR CAC Certification
- Cosmetology License
References
References available upon request.
Timeline
Medical Billing and Collections Specialist
ProEms Solutions
05.2022 - 01.2025
Billing and Coding Associate
Brewster Ambulance
01.2020 - 05.2022
EMT-Basic
Brewster Ambulance
03.2014 - 01.2020
Salon Owner/Operator
Salon Innovations
04.1999 - 06.2024
Certification in Medical Billing & Coding - CAC
NCCR
Cosmetology License -
BoJack's Beauty School
Basic EMT Training -
Emergency Medical Technician School of Norwood
High School Diploma -
St. Clare's High School
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