Elizabeth Bocanegra
Fort Worth,Texas
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Biller
Lisa Buell, MD
04.2024 - 03.2025
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Negotiated with insurance providers to resolve payment disputes, ensuring fair compensation for services rendered.
- Responded to customer concerns and questions on daily basis.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Monitored outstanding invoices and performed collections duties.
Billing Administrator & Obstetrics Coordinator
Grace Obstetrics and Gynecology
10.2017 - 04.2024
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel, and insurance carriers.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Input details into accounts and tracked payments.
- Handled billing, waivers, and claims for private and commercial clients.
- Distributed or posted financial data to appropriate accounts and prepared simple reconciliations.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Organized information for past-due accounts and transferred it to CSI collection agency.
- Leveraged EMR software to post payments received for medical services.
- Maintained billing software by updating rate change, cash spreadsheets, and current collection reports.
- Maintained positive working relationships with fellow staff and management.
- Handled incoming calls and directed callers to the appropriate department or employee.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Pulled patient records and transferred information to appropriate parties.
- Safeguarded medical records to maintain patient confidentiality.
- Entered patient insurance, demographic, and health information into software and confirmed records.
- Released information to persons or agencies according to regulations.
- Transmitted information or documents to customers through email, mailings, or facsimile machines.
- Streamlined day-to-day office processes to meet long-term goals.
- Verified record copies before handing each over to check for and remove unnecessary details.
- Ordered and restocked supplies in line with budget limits and office needs.
Office Administrator
Advanced Foot and Ankle Associates
05.2016 - 10.2017
- Conducted Insurance eligibility and benefits verification daily.
- Monitored the credentialing process of physicians and network participation.
- Monitored the accuracy of CPT and ICD-10 codes entered into the Medical Manager System to expedite reimbursement.
- Ensured that patients received the necessary referrals and further treatment information.
- Coordinated and oversaw scheduling, surgery, supervising, and development of front office receptionists.
- Collected patients' payments, posted the daily charges, and prepared daily deposits.
- Handled inbound faxes from pharmacies, insurance companies, test results, and consultation requests from other physicians.
- Retrieved and scanned all patient medical information in MEDET system.
- Gathered and recorded all patient information including referring physician, past medical information, and test results.
- Planned and executed staff training. Conflict resolution for staff and patients.
Dispatcher
Excalibur Towing
10.2014 - 06.2016
- Exceptional ability to manage all communication equipment.
- Administered and operated all computer-aided communication and dispatch equipment.
- Answered all phone calls coming to the facilities and routed to drivers and other dispatch locations if required.
- Ensued dispatch according to schedule and work order. Coordinated with all customers and drivers regularly.
- Maintained records of all Tow tickets and invoices.
- Supervised driver dispatching, route planning, and vehicle tracking for over ten (10) drivers.
- Recorded and maintained files or records of customer requests, work, or services performed.
- Tracked call logs and shift data to enter into the computer system.
- Advised personnel about accidents, weather conditions, and other hazards.
- Addressed questions, problems, or requests for service or customer concerns.
Final Assembler
ClimaCool Corporation
04.2011 - 07.2014
- Assisted in construction such as insulation, wiring, unit testing, final assembly of insulation, panels, labeling, and packaging for shipment.
- Maintained a safe workplace for employees and personnel during projects.
- Installed air conditioning systems, positioning compressors, motors, and other components under design specifications.
- Wired both line and low voltage to cooling equipment.
- Reported problems with company tools and vehicles to the crew foreman for quick resolution.
- Attended employee meetings and training to learn about new techniques, trends, and technologies.
- Implemented performance, quality, and efficiency measures to achieve aggressive production goals.
- Handled and Inspected completed work for conformance with requirements of local building and safety codes.
Education
CPC Certification -
Texas Career Center
River Oaks, TX02.2019
Medical Billing and Coding -
Everest College
Fort Worth, TX06.2016
Skills
- Flexible problem solving
- Strong organizational skills
- Long-term strategic planning
- Medical claims processing
- Billing processes management
- Detailed account balancing
- Client support
- Accounts receivable oversight
- Electronic claims processing
- HIPAA compliance certification
Certification
- HIPAA
- CPC Certification
- MBCT
Languages
Spanish
Limited Working
Timeline
Medical Biller
Lisa Buell, MD
04.2024 - 03.2025
Billing Administrator & Obstetrics Coordinator
Grace Obstetrics and Gynecology
10.2017 - 04.2024
Office Administrator
Advanced Foot and Ankle Associates
05.2016 - 10.2017
Dispatcher
Excalibur Towing
10.2014 - 06.2016
Final Assembler
ClimaCool Corporation
04.2011 - 07.2014
Medical Billing and Coding -
Everest College
CPC Certification -
Texas Career Center
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