Summary
Overview
Work History
Education
Skills
Certification
Systems
References
Timeline
Generic

Erica Hernandez

SANTA BARBARA,CA

Summary

Medical Billing Specialist with 10+ years of experience managing medical insurance claims. Investigates and resolves insurance company disputes and communicates with other departments regarding account balances and claim statuses.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Billing Coordinator

Alta Orthopaedics Medical Group
08.2022 - Current
  • Processed and verified claims to secure accuracy of billing information.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Handled account payments and provided information regarding outstanding balances.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.

Claims Follow-Up Representative

Sansum Clinic
12.2016 - 08.2022


  • Manage Cencal and Medical Claims
  • Assures timely reimbursement of clean claims
  • Work rejected and denied claims in online insurance portal
  • Generate claims for secondary and tertiary insurance

Medical Biller

Planned Parenthood of Santa Barbara
07.2015 - 09.2016
  • Process electronic billing
  • Verify commercial insurance
  • Obtain prior authorizations
  • Collect patient payments
  • Follow up on claims, work on correspondence from insurance
  • Fill in for other Billers at other locations when needed

Education

Certified Professional Biller

APPC Certified Professional Course
Santa Barbara, CA

Skills

  • Bilingual (English & Spanish)
  • Customer Service
  • Knowledge of clinical practices
  • Medical terminology
  • Billing Document Creation
  • Payment Collection
  • Claim submission
  • Billing Data Verification
  • Discrepancy Resolution

Certification

APPC Certified Professional

Systems

  • EPIC
  • NEXTGEN
  • ATHENA

References

Available upon request

Timeline

Billing Coordinator

Alta Orthopaedics Medical Group
08.2022 - Current

Claims Follow-Up Representative

Sansum Clinic
12.2016 - 08.2022

Medical Biller

Planned Parenthood of Santa Barbara
07.2015 - 09.2016

Certified Professional Biller

APPC Certified Professional Course

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Erica Hernandez