Elida Solis
Houston
Summary
Service-driven medical billing specialist with 20+ years of experience in a cardiology practice. Skilled in-patient statements, insurance verification, and collections, with strong communication and time-management abilities. Consistently completes tasks with accuracy and efficiency.
Overview
28
28
years of professional experience
Work History
Medical Billing Specialist
The Heartcare Center of NW Houston
05.2019 - Current
- Verify insurance
- Call insurance on claim denials
- Work on claims and resubmit to insurance
- Statements done monthly
- Do refund reimbursements for patients and insurance companies
- Post refunds
- Post patient payments
- Create claims and file
- Submit medical records to insurance companies for payment
- Request prior authorizations for testing and procedures done in office setting
- Answer billing phone calls from patients and insurance companies
- Work rejected claims from our clearinghouse on a daily basis
- Print hcfa forms and primary eob and submit to secondary insurance
- Submit mran forms to secondary Medicaid
- Make sure claims have payable diagnosis before submitting
Medical Billing Specialist
Comprehensive Heart Care
08.2009 - 01.2019
- Use computers for various applications, such as database management or word processing.
- Answer telephones and give information to callers, take messages, or transfer calls to appropriate
- individuals. Collect and deposit money into accounts, keep records of collections and disbursements, and ensure
- accounts are balanced.
- Create, maintain, and enter information into databases.
- Greet callers and handle their inquiries or direct them to the appropriate persons according to their needs.
- Schedule and confirm appointments for patients
- Locate and a ach appropriate files to incoming correspondence requiring replies.
- Conduct searches to find needed information, using such sources as the Internet.
- Prepare and mail refund checks. Post to appropriate patient accounts
- Post zero payments from insurance
- Verify Insurance
- Get authorizations for procedures to be performed in office
- Send out statements
- Make payment plans
- Collections
- Handle all returned mail
- EBO Reports
- Printed out HCFA's to mail to secondary insurances
- MRAN's (now MAPS) to Medicaid
Executive Assistant
Western International Gas & Cylinders
08.2006 - 06.2007
- Handled payroll for distribution drivers for all 7 plants
- Prepared monthly accruals
- Scheduled training for new drivers
- Handled all inquiries from the drivers and forwarded accordingly
- Allocated credit card expenses
Financial Counselor
Anderson Consultation Services
03.1998 - 07.2003
- Interview clients to determine their current income, expenses, financial objectives, risk
- tolerance, or other information needed to develop a financial plan.
- Analyze financial information obtained from clients to determine strategies for meeting
- clients objectives
- Assisted with third party reimbursements
Skills
Medical billing experience (20 years) Computer operation
Electronic health records (EHR) management Medical records
Medical office experience
Clerical
ICD-10
Attention to detail
ICD coding
Documentation review
time management
Microsoft Outlook
Insurance and patient refunds
HIPAA
Medical billing
Medicare
Microsoft Office
Customer service
EMR systems
Medical terminology
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Medical Billing Specialist
The Heartcare Center of NW Houston
05.2019 - Current
Medical Billing Specialist
Comprehensive Heart Care
08.2009 - 01.2019
Executive Assistant
Western International Gas & Cylinders
08.2006 - 06.2007
Financial Counselor
Anderson Consultation Services
03.1998 - 07.2003