Summary
Overview
Work History
Education
Skills
Leadership Experience
Communication Skills
References
Timeline
Generic

Esther Figueroa

Spring,TX

Summary

I am seeking a full-time position for your Medical Billing position. I am people oriented. I enjoy learning new things. Take pride in my job performance, quick learner, team player as well as self-starter.

Overview

33
33
years of professional experience

Work History

US Billing Rep II

R1 Rcm
07.2024 - Current
  • Followed up with customers on past due balances via phone or email communication.
  • Assisted with training new staff members on proper billing procedures and protocols.
  • Performed data entry to update customer accounts with payment details.
  • Collaborated with other departments to resolve any outstanding billing issues quickly.
  • Analyzed account history to identify trends or irregularities in billing processes.
  • Adhered to all applicable laws, regulations, and standards pertaining to billing practices.
  • Completed quality assurance reviews of practices and billing histories.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.

Medical Billing Specialist

Providence Saint Joseph Medical Center
, WA
06.2024 - 07.2032
  • Resolved discrepancies between insurance companies and patients regarding payment of bills.
  • Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Created and processed claims to third-party payers using specific coding guidelines.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Collaborated closely with other departments to resolve claims issues.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.

Director of Medical Billing Services

PROBILLING SERVICES
SPRING
12.1999 - 05.2024
  • Medical billing and consulting specialist
  • Managing billing for several medical offices in surrounding Houston areas
  • Verified insurance, entered new patient, updated established patient, posted and reviewed daily charges, posted EOBS, prepared appeals as needed, and kept offices updated on changes
  • Billed various carriers, to include Medicare, Work Comp, Commercial insurances, LOPS and PI/PIP.

Lead Medical Billing Instructor

FORTIS
HOUSTON
10.2009 - 12.2012
  • Taught 9-month course for the adult student to learn Medical Billing & Collections
  • Held the position as "Lead" Instructor which included training the new instructors
  • Prepared the lesson plans, and taught classes for 30+ students.

Benefits Examiner

First Health- Houston
  • Review claims for Exxon to ensure that their health plan requirements have been met by insured; process both hospital and doctors medical, dental, flex and foreign claims, calculate currency conversions for foreign charges, analyze claims for precertification review.

Education

Kaplan University
08.2024

MARK KEPPEL HIGH SCHOOL
ALHAMBRA, CA

Skills

  • Experienced in various office equipment
  • 10 key
  • Computer
  • Phones
  • Fax
  • Printer
  • Organized
  • Ability to multi-task
  • Self-starter
  • Technical knowledge
  • Data entry expertise
  • Payment Collection
  • Problem solver
  • Great phone etiquette
  • Various billing software platforms

Leadership Experience

  • Special Speaker at Trade Schools for Medical Billing
  • Mentoring students from trade school
  • Teaching Medical Billing to Office Staff and for those seeking new careers
  • Started and lead Spanish Ministry in church
  • Sunday School Teacher - Kindergarten

Communication Skills

Running my own business offers plenty of opportunity to communicate effectively and offer highly ethical services in billing. Being a self-starter and problem-solver increased my success as a business owner and mentor. Started church's Spanish Ministry with my husband, as well as starting ESL classes for the neighborhood. My services offered organizational skills, able to delegate and prioritize, and present services for our community.

References

  • Carl Bechtel, DC, 281 334-4700
  • Tim Hughes, DC, 409 935-1400
  • Jeffrey Young, DC, 281 370-4491
  • Toni Passino Billing Specialist, 706 393-4973

Timeline

US Billing Rep II

R1 Rcm
07.2024 - Current

Medical Billing Specialist

Providence Saint Joseph Medical Center
06.2024 - 07.2032

Lead Medical Billing Instructor

FORTIS
10.2009 - 12.2012

Director of Medical Billing Services

PROBILLING SERVICES
12.1999 - 05.2024

Benefits Examiner

First Health- Houston

Kaplan University

MARK KEPPEL HIGH SCHOOL

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Esther Figueroa