CYNTHIA MORALES MARTINEZ
Summary
Experienced Medical Biller and Coding Specialist with a strong background in Functional Medicine billing and revenue cycle management. Proven expertise in claims submission, EOB review, denial management, and appeals across Medicare, Medicaid, and commercial payers. Adept at collaborating with providers to ensure accurate documentation, coding compliance, and optimized reimbursement for specialized diagnostic and procedural services.
Overview
2
2
years of professional experience
2
2
years of post-secondary education
Work History
Medical Biller
The Center for Integrative & Functional Endocrinology
Pembroke Pines
04.2024 - Current
- Submit and manage insurance claims for endocrinology services to Medicare, Medicaid, commercial, and secondary insurance plans.
- Verify insurance eligibility, benefits, and coverage to ensure claims meet payer requirements.
- Work in a hybrid role with responsibilities both onsite and remotely to support billing operations.
- Conduct thorough review and correction of claim denials and rejections; submit appeals and follow up with payers.
- Post insurance and patient payments accurately and reconcile accounts as needed.
- Utilize eClinicalWorks (eCW), Epic, and Microsoft Excel to review charts and generate financial reports.
Education
Associate of Science - Medical Billing & Coding
Keiser University
Pembroke Pines, FL 04.2024 - 01.2026
Skills
Functional Medicine & Endocrinology Billing (Specialized Services)
- Thyroid-related services billing, including endocrine evaluations, diagnostics, and procedures
- Thyroid ultrasound billing and documentation
- Thyroid biopsy (FNA) procedure billing
- Nerve Conduction Studies (NCS) billing
- In-office diagnostic imaging services billing, including DXA scans and ultrasound
Revenue Cycle & Claims Management
- Claims submission and payment posting
- Denials management and insurance appeals
- EOB analysis and payer follow-up
- Coordination with providers to ensure accurate clinical documentation for billing compliance
- Accounts reconciliation and balance resolution
Coding, Systems & Administrative Skills
- ICD-10, CPT, HCPCS coding systems
- eClinicalWorks (eCW)
- Epic
- Medical terminology
- Microsoft Office
- Data entry
Professional Skills
- Problem-solving
- Excellent communication
- Attention to detail and accuracy
- Bilingual: English / Spanish fluency
Job Title
Medical Billing and Coding | Revenue Cycle Management
Timeline
Associate of Science - Medical Billing & Coding
Keiser University
04.2024 - 01.2026
Medical Biller
The Center for Integrative & Functional Endocrinology
04.2024 - Current