Dulce Martinez
Warren,OH
Summary
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
2
2
years of professional experience
Work History
Medical Biller and Coder
Jay R. Walther
06.2022 - 12.2023
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Education
Vocational Certificate - Medical Biller And Coder
Southern Careers Institute Inc
Harlingen, TX08.2022
Skills
- Patient Account Management
- Appeals Processing
- Revenue Cycle Management
- Insurance Verification
- Payment Posting
- Claim Submission
- HIPAA Compliance
- Time Management
Languages
Spanish
Native or Bilingual
Timeline
Medical Biller and Coder
Jay R. Walther
06.2022 - 12.2023
Vocational Certificate - Medical Biller And Coder
Southern Careers Institute Inc
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