Crystal Soto Hernandez
Pacoima,CA
Summary
Successful biller with a positive personality and the desire to effectively complete tasks. Offering several years of expertise for organizations in various sectors. An enthusiastic personality.
Highly skilled Biller, experienced in managing and performing all aspects of billing functions. Demonstrated strengths include maintaining accuracy in invoice preparation, handling disputes efficiently, and ensuring timely payments. Proven ability to identify discrepancies and resolve issues promptly for improved financial operations. Previous roles resulted in streamlined billing processes and increased efficiency.
Overview
4
4
years of professional experience
1
1
year of post-secondary education
Work History
Ambulance Biller
West Coast Ambulance
Burbank, California
10.2024 - 07.2025
- Processed patient billing information using electronic health record systems.
- Reviewed insurance claims for accuracy and compliance with regulations.
- Communicated with patients regarding billing inquiries and payment options.
- Coordinated with healthcare providers to obtain necessary documentation for claims.
- Maintained organized records of patient accounts and billing transactions.
- Assisted in resolving discrepancies related to invoices and payments.
- Updated billing software with new patient information and account changes.
- Collaborated with team members to streamline billing processes and improve efficiency.
- Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.
- Verified insurance eligibility for patients by calling appropriate parties.
- Maintained confidentiality on all patient record data.
- Participated in training sessions related to new policies and procedures as well as updates on existing ones.
- Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
- Documented all account activity into electronic medical record system ensuring accuracy of data entry.
- Prepared detailed claims for submission to insurance companies according to policy guidelines.
- Processed and monitored invoices, payments, and adjustments to ensure timely payment from insurance companies.
- Sent meticulous and accurate bills to collect payment from customers according to company protocol.
- Generated monthly reports to document financial status of accounts receivable.
- Coordinated with third-party payers concerning authorization requests, coding changes, and payment disputes.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted claims to insurance companies.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Biller
Valley Regenerative & Pain Clinic
Encino, California
04.2023 - 10.2024
- Researched case law applicable to pending matters involving personal injury claims.
- Reported any accidents or incidents involving personal injury, property damage or cargo loss immediately upon occurrence.
- Reviewed patient accounts for accuracy and completeness.
- Resolved billing discrepancies through effective communication with healthcare providers.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Meticulously tracked and resolved underpayments.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with clients, scheduling appointments and answering inquiries promptly.
- Maintained office supplies and ensured proper inventory management.
- Coordinated with external partners, such as courts and opposing counsel, for case updates.
- Handled billing processes, ensuring accurate invoice generation for client services.
- Answered and screened telephone calls, took messages, and provided information to clients.
Medical Biller
Santo Nino Medical Clinic
Panorama City, California
09.2021 - 12.2023
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Applied HIPAA privacy and security regulations while handling patient information.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Maintained accounting ledgers by verifying and posting account transactions.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Gathered information to produce accounts payable reports for review.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Performed insurance verification, pre-certification and pre-authorization.
- Processed invoice payments and recorded information in account database.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed all payments processing, invoicing and collections tasks.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Organized information for past-due accounts and transferred to collection agency.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Processed refunds requests timely and accurately according to established protocols.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Input details into accounts and tracked payments.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Submitted electronic claims to various insurance carriers.
- Utilized billing software to track payments and outstanding balances effectively.
- Collaborated with medical staff to clarify services rendered and documentation.
- Maintained up-to-date knowledge of healthcare regulations and coding practices.
- Verified insurance claims and coordinated with payers for resolution.
- Managed patient inquiries regarding billing statements and payment options.
- Processed patient billing information efficiently and accurately.
Education
Medical Biller - Medical Office Administrator
Concorde Career College
North Hollywood, CA 01.2018 - 12.2018
Skills
- Medical coding
- Claims processing
- Insurance verification
- Billing software
- Financial reporting
- Patient communication
- Compliance regulations
- Documentation accuracy
- Problem solving
- Attention to detail
- Time management
- Team collaboration
- Customer service
- Data entry proficiency
- Billing
- Insurance billing procedures
- Patient information management
- Reimbursement processing
- File management
- Posting charges
- Payment tracking
Timeline
Ambulance Biller
West Coast Ambulance
10.2024 - 07.2025
Biller
Valley Regenerative & Pain Clinic
04.2023 - 10.2024
Medical Biller
Santo Nino Medical Clinic
09.2021 - 12.2023
Medical Biller - Medical Office Administrator
Concorde Career College
01.2018 - 12.2018