DENISE ZUNIGA
Houston,TX
Summary
Dedicated to learning, growing, and succeeding in medical field. Ability to remain calm under pressure and handle difficult patients and high-stress situations with ease. Accurate recordkeeping and clear communication skills are key to streamlining patient flow. Extensive commercial insurance experience. Patient relations. Bilingual. Maintaining records. Vital signs. First aid. Customer service experience. Setting appointments. Information documentation. Clinical experience. HIPAA compliance. Medical terminology. Medical coding capability. Private practice experience. Team management. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
18
18
years of professional experience
Work History
Medical Biller and Coder
Modern Heart And Vascular
01.2024 - Current
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
- Input data into computer programs and filing systems.
Insurance Verifier
Medical Center ENT Associates of Houston, PLLC
06.2019 - 05.2021
- Kept track of office supplies by checking inventory and ordering new supplies as needed
- Received, recorded, and responded to incoming and outgoing telephone and email communication
- Documented patient medical information, case histories, and insurance information to ensure smooth appointments and payment processing
- Reviewed 100 patient cases and insurance coverage data every week
- Handled patient inquiries and answered phone calls and messages for 5-physicians medical facility.
- Managed high-volume caseloads efficiently while maintaining strict deadlines for completing verifications and processing claims.
- Assisted clients with understanding their insurance policies, benefits, and limitations to promote informed decision-making regarding healthcare services.
Medical Receptionist
Pearland ENT
10.2017 - 03.2019
- Scheduled patients for routine and complex procedures using computer programs and registration systems
- Handled patient and care-related concerns, liaising between the physician, the patient, and the insurance company
- Expertly managed a multi-line phone system and greeted all patients with a smile
- Used desktop calendar software to schedule appointments for doctor visits and procedures
- Kept track of front desk duties
- Evaluated and forwarded procedure and service details to appropriate coding staff so that they could be best classified for insurance purposes
- Documented patient medical information, case histories, and insurance information to ensure smooth appointments and payment processing
- Entered patient information into the system, including insurance, demographics, and medical history, to ensure that all records were current
- Greeted each patient with a friendly smile and handed them the desk sheet for easy sign-in.
Medical Assistant Specialist
Family Practice
06.2006 - 11.2011
- Was in charge of preparing and administering medications to help patients with their symptoms
- Directed patients to exam rooms, answered questions, and helped doctors prepare for exams
- Gathered information about the client's medical history, including medications, symptoms, and allergies
- Helped patients prepare for EKGs, suture removal, and dressing changes
- Exam rooms and medical equipment were sanitized, restocked, and organized by me
- Prepared lab specimens of blood, urine, stool, and sputum for diagnostic evaluation
- Educated patients on medications, procedures, and treatment plans
- Did clerical work like word processing, data entry, phone answering, and filing
- Collected patient information for billing and insurance filing by gathering forms, copying insurance cards
- Kept detailed records of test results by entering data and patient information into a computer
- Gathered and documented medical data from patients, such as blood pressure and weight.
Education
Medical Billing and Coding -
DeVry University
San Antonio, TX01.2024
High School -
Academy of Accelerated Learning
Houston, TX01.2005
Skills
- Patient relations
- Bilingual
- Maintaining records
- Vital signs
- Payment posting
- Insurance Verification
- Claim submission
- Data Entry
- Medical Billing
- Demographics Information
- Customer service experience
- Setting appointments
- Clinical experience
- Medical terminology
- Medical coding capability
- Private practice experience
- Team management
Accomplishments
- Dean's list for Summer 2023
- GPA of 4.0
Timeline
Medical Biller and Coder
Modern Heart And Vascular
01.2024 - Current
Insurance Verifier
Medical Center ENT Associates of Houston, PLLC
06.2019 - 05.2021
Medical Receptionist
Pearland ENT
10.2017 - 03.2019
Medical Assistant Specialist
Family Practice
06.2006 - 11.2011
Medical Billing and Coding -
DeVry University
High School -
Academy of Accelerated Learning
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