Cynthia Chavez
Los Angeles,CA
Summary
Seeking a challenging and rewarding position which will allow me to utilize my experience and qualifications in a team oriented medical environment. Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
18
18
years of professional experience
Work History
Medical Biller / Collector
Southern California Reproductive Center
07.2017 - Current
- Post daily FFS charges, apply daily and past due payments collected
- Audit accounts for accuracy of balance to be collected by the financial teams
- Post all cycle payments collected by third party / extended patients’ financial team
- Reconcile all payments collected for the accounting team
- Assist patients with itemized invoices
- Answer daily questions patients may have regarding denials, past due balances
- Collection for FFS, create installment plans for self-pay patients
- Contact insurances to check benefits, check claims status, reprocessing of incorrect denied claims
- Process refunds for insurance and patients
- Other duties: provide training for new hires for front desk operations and collections
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Medical Biller/ Collector
ApolloMed Hospitalist
10.2012 - 06.2017
- Collections for FFS and Case Rate contracts
- Make appropriate documentation in every account, including any action taken, determine any write-offs or corrections required, including duplicate charges
- Submit claims for secondary; Prepare refund requests for any monies due to patient or insurance company; data entering of Hospitalist billing, Post Payments, and insurance verification; electronic transmissions of claims, correction of electronic errors; send patient statements, print and mail out paper claims, answer billing questions from insurance and patients, other general office duties
Medical Assistant - Medical Billing
Clinica Medica San Miguel
10.2008 - 10.2012
- Supervisor, Front Office, Greeting Patients, Answering phones, Appointment Scheduling, Authorization, Insurance Verification, Processing patient chart, Medical Records, Daily Patient Count, Bank Deposits, Entering Billing Data, ordering office supplies, Processing Pay-roll, Scanning patients records in chart, Calling abnormal Labs, Translating for doctor and Helping in the back office when need it
Gate Inspector
ITS
08.2006 - 10.2008
- Gate- Inspector: inputting container data into the computer system for incoming containers and containers leaving the yard
- Quality Control - ensure no damage to containers or goods
Education
Certified Professional Coder -
American Academy of Professional Coders (AAPC)
10.2024
Medical Assistant Diploma -
American Career College
Los Angeles, CA03.2007
High School Diploma -
Chatsworth High School
Chatsworth, CA06.2006
Skills
- Revenue Cycle Management
- Accounts Receivables
- Collections
- Insurance Denials
- Appeals
- Coding CMS 1500
- Post Charges and Payments
- Medical terminology
- Front / Back-Office
- Vital Signs
- First Aid
- CPR
- Phlebotomy
- Injections
- Insurance Verification
- ICD-10
- CPT
- Utilization Management
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Communication Skills
- Time Management
References
Available upon request
Languages
Spanish
Professional Working
Timeline
Medical Biller / Collector
Southern California Reproductive Center
07.2017 - Current
Medical Biller/ Collector
ApolloMed Hospitalist
10.2012 - 06.2017
Medical Assistant - Medical Billing
Clinica Medica San Miguel
10.2008 - 10.2012
Gate Inspector
ITS
08.2006 - 10.2008
Medical Assistant Diploma -
American Career College
High School Diploma -
Chatsworth High School
Certified Professional Coder -
American Academy of Professional Coders (AAPC)
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