Elizabeth Garcia
San Antonio ,TX
Summary
Dynamic Billing Specialist with proven expertise at The Arora Group in enhancing customer satisfaction through effective communication and problem-solving. Skilled in billing systems and medical coding, I streamlined processes, reducing claim denials significantly. Committed to regulatory compliance and fostering strong client relationships, I excel in fast-paced environments.
Overview
7
7
years of professional experience
Work History
Billing Specialist
The Arora Group
San Antonio, TX
01.2025 - Current
- Processed billing inquiries and resolved discrepancies to ensure accurate accounts receivable management.
- Maintained billing documentation and records in compliance with company standards and regulations.
- Utilized accounting software to generate invoices and track payments efficiently.
- Collaborated with cross-functional teams to streamline billing processes and enhance customer satisfaction.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Developed user-friendly billing guide for patients, improving their understanding and satisfaction with billing process.
Medical Coding Specialist
Gonzaba Medical Group
San Antonio, TX
05.2023 - 04.2024
- Analyzed medical records for accurate coding in compliance with regulatory guidelines.
- Reviewed and validated coding assignments to ensure consistency and accuracy.
- Collaborated with healthcare providers to clarify documentation discrepancies for optimal coding outcomes.
- Implemented best practices for coding procedures, enhancing workflow efficiency across departments.
- Trained new staff on coding protocols and software systems to support team development.
- Developed standardized processes for coding operations, improving overall accuracy rates.
- Mentored junior coders, fostering a culture of continuous learning and professional growth within the team.
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
Lead Medical Biller
Southwest Pain Clinic
San Antonio, TX
11.2018 - 03.2023
- Achieved accurate eligibility determinations and benefits assessments through effective use of insurance web portal.
- Facilitated communication with insurance companies to resolve inquiries. Assisted clients in understanding policy details and claims processes. Supported team efforts in managing client relationships effectively.
- Assisted in obtaining referrals from primary care providers and submitted referral requests promptly.
- Executed payment posting and statement distribution to patients.
- Executed audits of patient records to process insurance company denials.
- Assisted in locating files through established procedures and diagnostic codes. Helped maintain organized records for efficient retrieval. Supported team members in understanding file search protocols.
- Assessed and validated reimbursement requests to ensure compliance with policies.
- Analyzed and identified reasons for rejected claims, implementing corrective measures.
- Resubmitted documents for review and approval.
- Enhanced CPT code accuracy by incorporating relevant modifiers.
- Processed reimbursement requests, ensuring timely and accurate financial transactions.
- Facilitated communication with physicians and healthcare staff to gather essential information.
- Assisted with inquiries related to patient services. Reviewed ICD-10 CM codes for accuracy and compliance.
- Reviewed and assigned CPT and HCPCS codes to ensure compliance and prevent unbundling.
Education
High School Diploma -
Luther Burbank High School
San Antonio, TXMedical Billing And Coding
Southern Careers Institute
TXSkills
Billing systems and software
Insurance verification
Invoice processing
Customer service
Claims processing
Claim submission
Customer engagement
Medical billing expertise
HIPAA compliance
Payment posting
Regulatory compliance
Procedure development
Records organization and review
Problem-solving
Multitasking and organization
Verbal and written communication
Revenue cycle management
Medical coding
Insurance claim processing
Coding proficiency
Billing cycle management
Cash posting
Deductible management
Billing software proficiency
Statement processing
Insurance confirmation
Billing and invoicing
Microsoft office
Payment processing
Account updating
Customer service support
Timeline
Billing Specialist
The Arora Group
01.2025 - Current
Medical Coding Specialist
Gonzaba Medical Group
05.2023 - 04.2024
Lead Medical Biller
Southwest Pain Clinic
11.2018 - 03.2023
High School Diploma -
Luther Burbank High School
Medical Billing And Coding
Southern Careers Institute