Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Donna Urbano

Lynwood,CA

Summary

Personable and detail-oriented individual with knack for problem-solving and data analysis. Possesses strong understanding of medical billing and coding procedures, coupled with proficiency in using healthcare management software. Committed to optimizing revenue cycles and improving financial performance for healthcare providers.

Healthcare professional with solid background in medical billing and coding. Expertise in managing billing cycles, resolving discrepancies, and ensuring compliance with healthcare regulations. Known for strong team collaboration and adaptability to changing requirements, effectively utilizing attention to detail and communication skills.

Positive, organized, and highly adaptable individual with keen ability to streamline medical practice operations and enhance patient experiences. Possesses in-depth understanding of healthcare regulations and proficient in medical billing and coding. Committed to driving practice efficiency and delivering exceptional patient care.

Positive, collaborative, and highly organized individual with strong foundation in medical billing and coding. Possesses comprehensive understanding of ICD-10, CPT, and HCPCS coding standards and has honed skills in data entry and electronic medical records management. Capable of leading team to ensure accurate coding and compliance, ultimately improving overall efficiency and accuracy.

Highly skilled healthcare professional with strong expertise in medical billing and coding. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic.

Personable and detail-focused individual with knack for problem-solving and positive attitude. Possessing foundational knowledge in medical billing and coding, along with proficiency in data entry and claim processing. Dedicated to optimizing billing accuracy and ensuring timely collections for healthcare providers.

Experienced with medical office administration, including patient records and appointment management. Utilizes skills in coordinating medical office tasks to ensure smooth operations. Knowledge of medical billing and coding, contributing to efficient office functionality.

Professional in healthcare claims processing with strong background in medical billing and coding. Proven ability to streamline workflows, resolve complex claims issues, and maintain compliance with industry standards. Known for effective collaboration, adaptability, and consistently achieving high productivity levels. Skilled in navigating insurance policies, managing patient information, and utilizing claims management software.

Developed expertise in medical billing and coding within fast-paced healthcare environment. Capable of managing complex billing processes and ensuring compliance with industry standards. Seeking to transition into new field, leveraging strong analytical and organizational skills.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medical Billing and Coding

ACE Medical Group
09.2016 - 09.2021
  • Data entry

  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
  • Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
  • Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
  • Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
  • Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Followed up with medical staff regarding missing information in patient records.
  • Input data into computer programs and filing systems.
  • Scanned and uploaded medical records into electronic medical records system.
  • Verified accuracy of patient information in medical records.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Followed exact procedures for handling transfers and other releases of medical records.
  • Assisted in training new staff on medical record processing and filing procedures.

Health Insurance Consultant

Awada Medical Group
04.2014 - 11.2014
  • Conducted detailed research on various plans to provide informed recommendations based on clients'' specific healthcare requirements.
  • Established trusted relationships with medical professionals and facilities to better serve client needs during policy utilization.
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • Educated clients about health insurance coverage options, benefits and costs.
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Developed tailored health insurance plans to meet individualized client needs.
  • Assisted clients with filing and tracking health insurance claims to facilitate swift settlements.
  • Analyzed customer needs to provide customized insurance solutions.
  • Calculated premiums and established payment methods for sales.
  • Collected premiums on or before effective date of coverage.
  • Monitored customer feedback and identified areas of improvement.

Heailth Insurance Agent

San Miguel Medical Clinic
03.2012 - 09.2012
  • Maintained compliance with all industry regulations while completing paperwork accurately and efficiently.
  • Educated clients on the intricacies of their health insurance policies, empowering them to make informed decisions.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Streamlined the application process for clients, resulting in faster approvals and fewer errors.
  • Provided exceptional customer service, leading to numerous referrals and a growing client base.
  • Developed strong relationships with healthcare providers to ensure optimal coverage options for clients.
  • Handled sensitive personal information discreetly while adhering to strict privacy regulations at all times.
  • Achieved recognition for outstanding customer service and expertise in health insurance advisory.
  • Improved client satisfaction by providing personalized health insurance plan recommendations and guidance.
  • Simplified enrollment process for clients, leading to higher conversion rates from initial consultations.
  • Fostered strong relationships with healthcare providers to ensure clients received comprehensive coverage benefits.
  • Educated clients on insurance policies and procedures.
  • Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
  • Educated clients about health insurance coverage options, benefits and costs.
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.

Education

Certificate - Billing And Coding

American Career College
CA
05.2016

Skills

  • Medical billing and coding
  • Coding standards
  • Handling procedures
  • Background in medical billing
  • Billing and invoicing experience
  • Data coding and analysis
  • Policies and procedures enforcement
  • Staff scheduling and allocation
  • Teamwork and cooperation
  • Medical terminology understanding
  • Strong hand-eye coordination
  • Teamwork and collaboration
  • ICD-10 and CPT coding skills
  • Scheduling and booking
  • Medical billing processing
  • Electronic medical records handling
  • Discipline and focus

Certification

  • CBCS - Certified Billing and Coding Specialist

Timeline

Medical Billing and Coding

ACE Medical Group
09.2016 - 09.2021

Health Insurance Consultant

Awada Medical Group
04.2014 - 11.2014

Heailth Insurance Agent

San Miguel Medical Clinic
03.2012 - 09.2012

Certificate - Billing And Coding

American Career College
Donna Urbano