Emma Espinal
Medical Biller
Kissimmee,FL
Summary
Competent Medical Billing Specialist with 16 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
15
15
years of professional experience
5
5
years of post-secondary education
Work History
Medical Billing Specialist
OB-GYN Of Greater Orlando, LLC
Orlando, FL
07.2012 - Current
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Located errors and promptly refiled rejected claims.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Identified and resolved patient billing and payment issues.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies and billing office.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Evaluated patients' financial status and established appropriate payment plans.
- Posted and adjusted payments from insurance companies.
Medical Billing Specialist
Dr. Hunter
Winter Garden, FL
01.2010 - 07.2012
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Submit billing data to the appropriate insurance providers.
- Resolve denial instances.
- Posted charges and payments from both insurances and patients.
Medical Billing Specialist
Allergy, Sleep, And Lung Care
Lehigh Acres, FL
08.2009 - 01.2010
- Responsible for posting payments, write offs, research underpayments, overpayments, and discrepancies on accounts.
- Daily contact with insurance companies to resolve any denials.
- Maintain account demographics.
- Basic knowledge of ICD-9 and CPT codes.
- Review all claims for accurate information before filing them electronically.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Precisely evaluated and verified benefits and eligibility.
- Evaluated patients' financial status and established appropriate payment plans.
Medical Billing Specialist
Rochester General Health Systems
Rochester, New York
06.2007 - 06.2009
- Responsible for maximizing reimbursement for inpatient hospital stays, outpatient services, and physician billing rendered.
- Timely filing of claims.
- Examined patients insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identifying and preparing adjustments and write offs.
- Follow up on denials, daily contact with insurance companies, review accounts for misapplied payments, incorrect contractual adjustments, or discrepancies and take corrective actions.
- Maintain patient demographics data and make any necessary changes if needed.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Located errors and promptly refiled rejected claims.
Education
Associate of Applied Science - Accounting
Rochester Business Institute
Rochester, NY 01.2004 - 05.2006
Associate of Applied Science - Business Administration
Monroe Community College
Rochester, NY 01.1995 - 05.1997
Skills
Bilingual in English and Spanish
Excellent writing and communication skills
Ability to work independently and collaboratively
Proficient in data entry
Timeline
Medical Billing Specialist
OB-GYN Of Greater Orlando, LLC
07.2012 - Current
Medical Billing Specialist
Dr. Hunter
01.2010 - 07.2012
Medical Billing Specialist
Allergy, Sleep, And Lung Care
08.2009 - 01.2010
Medical Billing Specialist
Rochester General Health Systems
06.2007 - 06.2009
Associate of Applied Science - Accounting
Rochester Business Institute
01.2004 - 05.2006
Associate of Applied Science - Business Administration
Monroe Community College
01.1995 - 05.1997