Courtney Torres
Paterson
Summary
Dedicated professional in medical billing and revenue cycle management, skilled in claims processing and patient account verification. Committed to maintaining HIPAA compliance while ensuring timely and accurate billing for improved revenue cycle efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Biller
61st St Service Corp Medical Billing for Columbia University
New York
11.2024 - Current
- Processes medical billing for patients and insurance claims with accuracy and compliance.
- Reviews and submits claims to Medicare, Medicaid, and private insurers.
- Collaborates with providers, insurance companies, and patients to ensure proper reimbursement.
- Maintains strict HIPAA compliance and protects patient confidentiality.
- Process medical claims using industry-standard billing software.
- Review patient accounts for accuracy and completeness of information.
- Contacts insurance providers to verify insurance information and obtain billing authorization.
Medical Receptionist
Lower Limb Institute
Hackensack
06.2023 - Current
- Schedules patients, Checks patients in and out, and updates charts.
- Processes referrals, performs faxing, photocopying, and filing duties.
- Works in Mod med, Navinet, EPIC, Availity, and United Health Care Provider portal.
- Verifies insurance to make sure it is up to date and PCP referrals are in patients charts and up to date.
- Answers incoming calls and patient's inquiries.
- Verifies insurance.
- Inputs Data entry for appointments from Zoc Doc and Website.
- Retrieves prior authorizations from insurance companies, sends in appeals, sets up P2Ps for denied cases.
- Retrieves proper ICD-10 and CPT and HCPCS II codes for proper documentation on superbills, for PAs.
Server / Customer Service
Alps Diner
Wayne
09.2022 - 08.2023
- Prepared restaurant tables with special attention to sanitation and order.
- Attended to customers upon entrance, presented restaurant menus, and help customers select food and beverages.
- Take and serve orders, answer questions, and make recommendations for complementary products.
- Collaborate with other restaurant servers and deal with complaints or problems with a positive attitude.
Full Time Student
Ultimate Medical Academy
Paterson
10.2021 - 03.2023
- Remained self-directed, motivated, and accountable for personal actions.
- Came prepared for class and completed assignments on time.
- Navigated new technology, utilized available resources, and set realistic expectations.
- Graduated with an associate's in science degree with Billing and Coding with a 4.0.
Shift Manager / Assistant Manager
Sunset Diner / Park Ave / Bridgewater Diner
Greenbrook
11.2017 - 12.2021
- Promoted from Server / Customer Service.
- Supervised employees, completed closing duties, and handled end of day paperwork.
- Trained new hires, upsold promotional items, issued bills, and accepted payments.
- Prepared restaurant tables with special attention to sanitation and order.
- Attended to customers upon entrance, presented restaurant menus, and helped customers select food and beverages.
- Took and served orders, answered questions, or made recommendations for complementary products.
- Collaborated with other restaurant servers and dealt with complaints or problems with a positive attitude.
Dispatcher
JBHUNT
Piscataway
06.2020 - 06.2021
- Handled a mix of inbound and outbound calls and documented call interactions.
- Called customers to inform them of product delivery times or cancellations.
- Managed time windows for deliveries and installations and made sure drivers were wearing PPE via submitted pictures.
- Maintained Excel spreadsheet of completed jobs and tracked drivers and their times from destination to destination.
- Received customer complaints and concerns and sent out routes to the drivers.
Logistics Coordinator
Priority Express
Springfield
12.2019 - 06.2020
- Interfaced with drivers and pharmacies via inbound and outbound phone calls.
- Ensured the safe and timely pick-up and delivery of products and answered customer inquiries.
- Tracked drivers and packages and organized and managed inventory, storage, and transportation.
- Managed time windows for deliveries and assigned billing tickets and routes to drivers.
- Created spreadsheets using Excel, handled documentation, provided training to new hires.
General Manager / Customer Service
O'lala Empanadas
Newark
09.2018 - 03.2020
- Promoted from Crew Member (02/2019).
- Recruited, trained and supervised staff, upsold promotional items, took inventory, and handled customer inquiries and complaints.
- Greeted and advised customers, assessed and improved profitability, and performed opening and closing duties.
- Cooked and prepared batches of food, managed checklists, counted tills, and prepared deposits.
- Set sales goals and incentives, delegated tasks, and provided excellent customer service.
Medical Assistant
La Familia Medical
Elizabeth
10.2014 - 03.2015
- Checked patients in and out, took vital signs, and updated charts.
- Processed referrals, scheduled appointments, and performed faxing, photocopying, and filing duties.
- Worked in Practice Fusion, Navinet, and Labcorp Beacon Softwares.
- Verified insurance, called in prescription refills, and answered inbound phone calls.
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
01.2023
Diploma - Medical Office Technology
Drake College of Business
01.2014
Skills
- Microsoft Office Application
- Google Applications
- QuickBooks
- Typing Speed: 45 WPM
- Medical Billing
- Accounts Receivable
- Revenue Cycle Management
- Posting Payments
- Electronic Health Records (EHR)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Coding (ICD-10-CM, HCPCS, CPT
- Insurance verification
- HIPAA compliance
- ICD-10 coding
Certification
- CPC
Accomplishments
- Deans List- Ultimate Medical Academy
Timeline
Medical Biller
61st St Service Corp Medical Billing for Columbia University
11.2024 - Current
Medical Receptionist
Lower Limb Institute
06.2023 - Current
Server / Customer Service
Alps Diner
09.2022 - 08.2023
Full Time Student
Ultimate Medical Academy
10.2021 - 03.2023
Dispatcher
JBHUNT
06.2020 - 06.2021
Logistics Coordinator
Priority Express
12.2019 - 06.2020
General Manager / Customer Service
O'lala Empanadas
09.2018 - 03.2020
Shift Manager / Assistant Manager
Sunset Diner / Park Ave / Bridgewater Diner
11.2017 - 12.2021
Medical Assistant
La Familia Medical
10.2014 - 03.2015
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
Diploma - Medical Office Technology
Drake College of Business
Similar Profiles
SADIE "Lina" BARBOZASADIE "Lina" BARBOZA
Accounts Payable Specialist at Columbia Hospital/61st Street Serv. CorpAccounts Payable Specialist at Columbia Hospital/61st Street Serv. Corp
Michele LevyMichele Levy
Patient Service Specialist II at 61st Street Service Corporation (Columbia Doctors-Vascular Interventional Radiology)Patient Service Specialist II at 61st Street Service Corporation (Columbia Doctors-Vascular Interventional Radiology)
Alea HicksAlea Hicks
Senior Patient Care Coordinator (Gastroenterology) at Columbia Doctors/61st Street Service CorporationSenior Patient Care Coordinator (Gastroenterology) at Columbia Doctors/61st Street Service Corporation
William DiazWilliam Diaz
Power Systems Field Technician at Foley CatPower Systems Field Technician at Foley Cat
Akilah WilliamsonAkilah Williamson
Child Care Provider at Private FamilyChild Care Provider at Private Family