Desiree Mae Tarrosa

• Planned and directed the facility's accounting functions under Administrator's supervision.
• Processed medical bills and posted payments.
• Handled invoicing for co-insurances and private statements.
• Supported patients with Medi-Cal applications.
• Requesting authorizations.
• Managed payment collection process efficiently.
• Validated coverage specifics and explained insurance benefits.
• Processed entries for Ancillaries, Pharmacy, and X-ray labs.
• Entered data into resident charts accurately.
• Responded promptly to queries via phones and emails.
• Coordinated schedules effectively.
• Produced written content for communications like letters, emails, presentations, and reports.
• Ordering and stocking office supplies and equipment
• Processing invoices, collecting expense data, and completing reference checks

Reception's task

• Greeting visitors: Welcoming people as they enter the office
• Providing information: Answering questions and providing general information to staff, clients, or the public

• Insurance Verification, coverage and benefits (EOB)
• Software used, Availity
• Can distinguish between HMO and PPO, such as Out of pocket and deductibles
• Billed Medicare, Medicaid and Private Insurances
• Handling Multiple Phone calls from Doctors and Patients
• Posting and collecting payments
• Patient data entry and billing system through Office Ally (software)
• Knowledge of Icd-10, CPT codes and HCPCS
• Medical Terminology
• Audit work
• Prior Authorization and Appeals, redetermination
• Process claims to CMS1500 form.

• Aging reports and process claims
• Review coding to ensure the correct procedure codes and information is completed
• File Appeals and CIFS to Medi-Cal as necessary on all denied or outstanding claims
• Daily electronic claims follow up and submission of all x-rays, periodontal charting or documentation requested from the insurance companies through Fast Attach and Dental exchange
• Resolve claim denials with insurance and resubmit as appropriate including any requested information
• Sofware used, Dentrix

• Patient Data Entry
• Conduct audits
• Submit billing data to the appropriate insurance providers
• Resolve denial instances
• Collecting payment duties