Debra Mora
San Antonio
Summary
Proficient in medical billing and claims processing, with extensive experience in reviewing documentation and ensuring compliance with coding guidelines. Expertise in implementing billing software and training teams, driving continuous improvement in operational efficiency and customer service.
Overview
39
39
years of professional experience
Work History
Assistant
Alamo City First Assist
San Antonio
09.2024 - Current
- Maintained organized filing systems for documents and records.
- Responded to inquiries from customers and vendors via email and fax.
- Accurately entered data into databases to ensure integrity.
- Reviewed medical documentation for compliance with coding guidelines.
- Coordinated with medical staff to gather essential documentation for licensing.
- Guided providers on required documentation to ensure timely credentialing completion.
- Assigned appropriate codes for diagnoses and procedures, enhancing accuracy.
Insurance Billing Specialist, Supervisor
Women Partners in OBGYN
San Antonio
01.2000 - 02.2026
- Oversaw billing operations to ensure compliance with healthcare regulations and accuracy.
- Streamlined billing processes, enhancing efficiency and minimizing errors in patient invoicing.
- Managed accounts receivable with timely follow-up on outstanding payments.
- Trained and mentored billing staff, promoting a culture of continuous improvement.
- Implemented new billing software, facilitating transition efforts and staff training.
- Reviewed and resolved billing issues through thorough research and analysis.
- Assigned accurate ICD-10, CPT, and HCPCS codes to diagnoses and procedures.
- Maintained up-to-date knowledge of coding guidelines to guarantee accuracy.
Medical Billing Specialist
Thomas Spann Clinic
Corpus Christi
03.1988 - 12.1999
- Processed medical claims using advanced billing software to ensure timely reimbursement.
- Reviewed and verified patient insurance information for accuracy, minimizing claim denials.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- 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.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Business Office Specialist
Southern Business School
Corpus Christi
01.1988 - 12.1988
- Business Office (Trade school)
Education
Certified Office Specalist - Business Office Specailit
Southern Business School
Corpus Christi, TXSkills
- Employee relations and administrative support
- Office administration and billing management
- Client support and communication
- Documentation review and technical support
- Computer literacy and software skills
- Research and claims support
- Staff training and development
- Microsoft Office applications
- Medical office experience and patient confidentiality
- Data entry and 10-key data entry
- Teamwork and coordination
- Continuous improvement strategies
- Clinical data entry and medical billing
- Insurance processing and verification
- Customer service excellence
- Telephone communication and client interaction
- EHR management and managed care practices
- Network troubleshooting
- Troubleshooting and Diagnostics
- Technical support
- Software updating
- System performance optimization
- Troubleshooting network issues
- Medical coding
- Data entry
- Problem solving
- Critical thinking
- Basic accounting
- Billing and coding
Additional Information
I am dependable. I like to find solutions. I am a team player and also work independently.
Languages
English
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Assistant
Alamo City First Assist
09.2024 - Current
Insurance Billing Specialist, Supervisor
Women Partners in OBGYN
01.2000 - 02.2026
Medical Billing Specialist
Thomas Spann Clinic
03.1988 - 12.1999
Business Office Specialist
Southern Business School
01.1988 - 12.1988
Certified Office Specalist - Business Office Specailit
Southern Business School