Delgadina Rojas
Phoenix,AZ
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing. Hardworking individual with excellent analytical and multitasking abilities. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
16
16
years of professional experience
Work History
Medical Biller
Skin and Cancer Center of Arizona
09.2022 - Current
- Issue refunds to patients or insurance companies
- Appeal claims to insurance plans that deny payments for services rendered
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Accounts receivable
- Run statements and reports for daily or month end.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Adhered to established standards to safeguard patients' health information.
- Delivered timely and accurate charge submissions.
Medical Biller
Desert Ridge Family Physicians
05.2019 - 08.2022
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
Medical Biller
The Orthopedic Clinic Assoc
03.2008 - 05.2019
- Answering and screening of all inbound calls from patients or insurance plans regarding billing inquires
- Posting of insurance payments or patient payments
- Accounts receivable
- Issue refunds to patients or insurance companies
- Bill or rebill charges to various insurance plans electronically or on a HCFA Claim form 1500
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Appeal claims to insurance plans that deny payment for services rendered
- Run statements and reports for daily or month end.
- Collaborated with customers to resolve disputes.
Education
Hight School Diploma -
Cesar Chavez High School
Phoenix, AZ05.2004
Skills
- EMR Systems
- GE Centricity
- Alpha- 35 WPM Microsoft word
- 10-key 10,000 Excel Athena
- NextGen
- EMR Group Insurance Medicare
- UHC
- UHC AHCCCS
- Aetna
- BCBS
- BCBS TPA
- BANNER
- Supplemental
- First Health
- (10 years
- Knowledge of Nextech EPM
- Modernizing Medicine (EMA)
- Advanced MD
- Claims Review
- Account Reconciliation
- Medical Transcription
- Commercial and Private Insurance
- Claims Processing
- Teamwork and Collaboration
- HIPAA Compliance Certification
- HIPAA Compliance
- Insurance Billing
- CMS-1500 Billing Forms
- Medical Billing
- Medical Terminology Expert
- Medical Claims Submission
- Medical Terminology
Timeline
Medical Biller
Skin and Cancer Center of Arizona
09.2022 - Current
Medical Biller
Desert Ridge Family Physicians
05.2019 - 08.2022
Medical Biller
The Orthopedic Clinic Assoc
03.2008 - 05.2019
Hight School Diploma -
Cesar Chavez High School
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