Cynthia Florez
Chino,CA
Summary
Results-driven medical billing professional with extensive experience at Quantum Solutions Medical Billing. Expert in claim submission and insurance verification, achieving improved approval rates through trend analysis. Strong communicator, adept at resolving billing discrepancies and enhancing patient understanding of complex insurance issues. Committed to maintaining HIPAA compliance and fostering relationships with healthcare providers.
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
14
14
years of professional experience
Work History
Medical-billing-professional
Quantum Solutions Medical Billing
01.2012 - Current
- Processed medical claims using advanced billing software to ensure accurate reimbursements.
- Reviewed and verified patient records for compliance with insurance requirements and regulations.
- Coordinated with healthcare providers to resolve billing discrepancies and expedite payments.
- Analyzed claim rejection trends to implement corrective measures,
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Collected payments and applied to patient accounts.
Education
Certificate - Medical Billing
American Business Systems
Dallas, TX01-2011
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
Languages
English
Timeline
Medical-billing-professional
Quantum Solutions Medical Billing
01.2012 - Current
Certificate - Medical Billing
American Business Systems