Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Medical Biller and Coder
Compassionate Cancer Care
06.2023 - Current
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.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
Medical Biller and Coder
Nurick Surgical Institute
11.2012 - 06.2023
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.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care.
Medical Assistant
Nurick Surgical Institute
11.2012 - 06.2021
Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Sanitized, restocked, and organized exam rooms and medical equipment.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Coordinated surgical team schedules for seamless procedure planning and execution.
Enhanced patient satisfaction by providing clear explanations of surgical procedures and addressing concerns promptly.
Education
No Degree - Medical Assisting
Taller San Jose
Santa Ana
09.2007
High School Diploma -
Santiago High School
Corona, CA
06.2004
Skills
Insurance Verification
Payment posting
Claim submission
Patient account management
CPT coding knowledge
Medicare and Medicaid Billing
Knowledgeable in Word,Excel, Outlook and Zoom
Medical Billing Processing
Hospital Inpatient and Outpatient Records
EMR / EHR Systems, Aria, Centricity, PCM and E-Clinical
Fluent in English and Spanish
Customer Service
Insurance Billing
Medical office administration
Medical Terminology
Payment Collection
Patient Scheduling
Sterile technique
Timeline
Medical Biller and Coder
Compassionate Cancer Care
06.2023 - Current
Medical Biller and Coder
Nurick Surgical Institute
11.2012 - 06.2023
Medical Assistant
Nurick Surgical Institute
11.2012 - 06.2021
No Degree - Medical Assisting
Taller San Jose
High School Diploma -
Santiago High School
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