Summary
Overview
Work History
Education
Skills
Familiar with working in multiple database systems
Timeline
Generic

Emily Quintana

Medford,OR

Summary

Detail oriented and quality focused professional billing specialist. Experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in billing practice software's and clearing houses. Strict dedication to patient confidentiality.

Overview

12
12
years of professional experience

Work History

Medical Billing Specialist

Absolute Solutions
09.2020 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Collected payments and applied to patient accounts.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
  • Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
  • Posted payments and collections on regular basis.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Monitored outstanding invoices and performed collections duties.
  • Reconciled accounts receivable to general ledger.

Medical Billing Specialist

CCI
08.2018 - 03.2020
  • Daily electronic claims processing using claims scrubber and CCI edits to send claims out daily
  • Reviewing of electronic charges entered by providers and making any corrections require for clean claims
  • Posting of charges for from paper superbills
  • Assisted Manager in handling of 8+ therapy clinics
  • Taking patient calls and assisting them with their accounts and or taking payments
  • Processing patient payments thru various payment portals
  • Liaison and management between the company and outside vendors used for collections and other billing assistance
  • Balancing and tracking of clinics specific particulars
  • Wrote training document and created training video on use of AdvancedMD

Medical Billing Specialist

Lobo Solutions
11.2014 - 07.2018
  • Ensure claims are entered and submitted in timely manner from receipt
  • Post and reconcile insurance and patient payments against deposits
  • Retrieve ERA's from clearing house and import to billing software
  • Identify claim issues and resubmit through the Clearing House
  • Verify accuracy and organize all work received for clean input of information
  • Working in provider portals of insurance companies to locate EOB's, verify plan information and eligibility
  • Run and verify accuracy of all collection reports of patient accounts
  • Set up new patient accounts and verify correct diagnosis and procedure coding
  • Follow up on insurance and patient aging, knowledgeable of insurance timely filing guidelines

Medical Billing/Front Desk Reception

Pacific Beach Urgent Care
04.2013 - 10.2014
  • Opening and Closing of clinic
  • Balancing out all daily transactions from charges to payments
  • Maintain and documentation of patient charts
  • Intake and Out take of patients including care instructions
  • Charge and Payment entry

Education

Certificate - Medical Billing

Kaplan
San Diego, CA
05.2010

Skills

  • ICD-10
  • CPT
  • Medical Terminology
  • Medical insurance policies and practices
  • Claim Entry
  • Payment Posting
  • Records Organization
  • Management
  • Excellent communication skills
  • Positive attitude
  • Team player
  • Use of Word
  • Excel
  • Advanced MD
  • Egnyte
  • Practice Perfect
  • Insight
  • E Clinicals
  • HealthPac
  • Quality-oriented team player
  • [Type] software applications proficiency
  • Claims review
  • Insurance claims processing
  • Medical claims submission
  • Patient account analysis
  • Accounts receivable management
  • Account follow-up
  • Information requests
  • Medical billing technology
  • Database systems
  • Balance reconciliation
  • CPT code modifiers
  • Submission of medical claims
  • Claim review
  • Procedure coding
  • Billing codes

Familiar with working in multiple database systems

I have worked in several databases and am able to adapt quickly. I am not afraid of learning on my own to find a solution, but I am also ready to ask for assitance if needed.

Timeline

Medical Billing Specialist

Absolute Solutions
09.2020 - Current

Medical Billing Specialist

CCI
08.2018 - 03.2020

Medical Billing Specialist

Lobo Solutions
11.2014 - 07.2018

Medical Billing/Front Desk Reception

Pacific Beach Urgent Care
04.2013 - 10.2014

Certificate - Medical Billing

Kaplan

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Emily Quintana