DONNA RODRIGUEZ, CCA
Medical Biller And Coder
Castaic,CA
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
13
13
years of professional experience
1
1
year of post-secondary education
2
2
Languages
Work History
Medical Billing, Collector and Reconsiderations Specialist Team Lead, Referral Coordinator
Concentra, Concentra.com
Valencia, CA
03.2015 - Current
- Communicates improper payments from payors
- Identify and monitor incorrect reimbursement issues
- Identify and apply appropriate adjustments per contracts or state fee schedules
- Process and monitor all reconsiderations ensuring processing with the appropriate state reports, transcription, and explanation of benefits
- Process short/zero payments for reconsiderations
- Account resolution via communications with employers, insurance companies, TPAs and labs.
- Incoming customer service calls with clients.
- Process rebills & correspondence.
- Manage aging reports
- Outgoing calls to insurance companies, employers
- Document notes into billing system
- Request documentation from clinics to support charges
- Address correspondence and customer requests
Cashier, Server, Hostess
Chi Chi's Pizza
Canyon Country, California
12.2014 - Current
- Www.chichispizza.com -Provided seating arrangements for customers upon arriving at the restaurants.
- Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
- Assigned patrons to tables suitable for needs and restaurant section rotation.
- Cultivated positive guest relations by managing information and orchestrating speedy seating.
- Took reservations and to-go orders by phone, answered customer questions and informed of accurate wait times.
- Collaborated with kitchen to inform customers of wait times and answer questions about food.
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Informed servers of newly seated parties for speedy service.
- Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Education
Medical Billing and Coding Specialist Program -
Kaplan College
San Diego, CA 08.2014 - 04.2015
Skills
Data analysis
Medical claims submission
Medical coding knowledge
Accounts receivable management
Records Maintenance
Proficiency in Word, Excel, Outlook
Billing statement review
Timeline
Medical Billing, Collector and Reconsiderations Specialist Team Lead, Referral Coordinator
Concentra, Concentra.com
03.2015 - Current
Cashier, Server, Hostess
Chi Chi's Pizza
12.2014 - Current
Medical Billing and Coding Specialist Program -
Kaplan College
08.2014 - 04.2015