EVA Garcia
VISALIA,CA
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 25 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports, remote billing. Accommodating and helpful team player proficient in job-related billing software.
Overview
26
26
years of professional experience
Work History
Medical Billing Specialist
Visalia Ambulatory surgical Center
Visalia, CA
07.2017 - Current
- Remote Billing
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Organized and maintained filing systems for documents and records.
- Assisted in the preparation of reports, presentations and correspondence.
Billing Specialist
Visalia Cardiovascular & Medical Center
Visalia, CA
07.2017 - Current
- Remote Billing
- 10-key touch, Insurance Billing, HMO/PPO Billing, Electronic Billing, Paper Billing, Medicare/ Railroad Medicare Billing Palmetto GBA Guidelines, Patient Accounting Manager, Aging Accounts, Medical Records, Patient Financial Arrangements Patient Accounting Manager, Aging Accounts, Sending Monthly Statements, Final Notices, Insurance Coding, Assigning Accounts to Collection, Posting Insurance and Patient Payments, Daily Deposits/Money Managing, Answering the phones, EMR Omni Md, Office Ally.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
Billing Department
PM &R Associates (Michael Wlasichuk M.D and Dinesh Sharma M.D)
Visalia, CA
07.2001 - 06.2017
- Data Entry, 10-key touch, Front Office Procedure, Telephone Techniques, Patient Demographics, Managing Records Insurance Billing, HMO/PPO Billing, Electronic Billing, Paper Billing, Medicare Billing Palmetto GBA Guidelines, Workers Compensation Billing, QME,AME,IME Billing, Billing EMG/NCS, Billing Myobloc Injections/ Hyalgan Injections, Settling Case on Lien Bases with Attorney, CPT AND ICD-9 Codes, Patient Accounting Manager, Aging Accounts, Sending Monthly Statements, Final Notices, Insurance Coding, Assigning Accounts to Collection, Billing/Aging Accounts, Posting Insurance and Patient Payments, Medical Records, Verifying Insurance Benefits, Follow up on denied claims, Patient Financial Arrangements, Medical Assistant, Patients Charts, Answering the phones, EMR, Office Hours, Medisoft, E-Claims, Office Ally
- Developed and implemented office policies and procedures.
- Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Reviewed files and records to obtain information and respond to requests.
- Coded and entered daily invoices with in-house accounting software.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved customer inquiries and complaints requiring management-level escalation.
Billing/Patient Account Manager
HyalganSharmaLife Line Billing Service (DSharmaSharma M.D.)
Visalia, CA
05.2008 - 06.2009
MyoblocWlasichuk
- Insurance Billing, HMO/PPO Billing, Electronic And Paper Billing, Medicare/Palmetto/Noridian GBA Guidelines, Worker Compensation Billing, 10-Key Touch, Medical Records, Patient Financial Arrangements Patient Accounting Manager, Aging Accounts, Sending Monthly Statements, Final Notice, Insurance Coding, Assigning Account To Collection, Billing/Aging Accounts, Posting Insurance And Patient Payments, Banking/Bookkeeping, Daily Deposits/Money Managing, Settling Cases On Lien Bases With Attorney.
Office Janitorial Service
Self Employed
11.2001 - 01.2005
- Cleaning, Dust furniture and equipment, empty all trash, Mop floors, Vacuum Carpet, Shampooing Carpets, Wash Windows and Venetian Blinds, Clean Bathroom, Empty ashtrays, Clean Mirrors and Sinks, Wash toilets and urinals, replenishes toilet paper and towels dispensers, refill soap dispensers, wipe down stalls, replace air fresheners, made sure facility entrances and windows are locked, lights are turned off, alarms is set.
Medical Assistant
PM &R Associates (Externship 160 hours)
Visalia, CA
05.2001 - 07.2001
- Medical Assistant for two Doctors, Vital signs, Insurance Authorization, Verifying Benefit., Confirming Appointments, Fill out Insurance Forms, Schedule Medical Procedures, Update Patients Charts, Answering the phones, Sorting Mail/Faxes, Handling Correspondence, Filing, Typing, Faxing, Copying, Entering Computer Data
Housekeeping
Super 8 Motel
Visalia, CA
06.1998 - 06.2001
- Customer Service, Cleaning, Dust furniture, Empty all Trash, Mop floors, Vacuum Carpet, Wash Windows, Clean Bathroom, Empty ashtrays, Clean Mirrors and Sinks, Wash Toilets, Replenishes Toilet Paper and Towels Dispensers, Refill Soap Dispensers, Replace Air Fresheners, Laundry Wash Fold Towels, and Sheets/ Comforters, Pillow Cases.
- Performed light housekeeping duties including laundry, meal preparation, grocery shopping and cleaning.
- Performed light housekeeping tasks such as laundry, vacuuming and dusting.
- Assisted in general housekeeping duties as needed.
- Performed light housekeeping duties such as laundry, vacuuming, dusting, mopping floors.
Education
AMDA -
Golden State College
Mt. Whitney High School
Skills
- Omni, Office Ally, Ability EMR software applications proficiency
- Remote Billing
- Medicaid and Medicare Knowledge
- Data security procedures
- CPT code modifiers
- Invoice Coding
- Critical Thinking
- Electronic Claims
- Quality-oriented team player
- Collections Management
- Patient Billing
- HIPAA Compliance
- Insurance Verification
- Denial Management
- Medical Coding Expertise
- CPT Knowledge
- ICD-10 Proficiency
- Multitasking and Organization
- Commercial and Private Insurance
- Claims review
- HIPAA Compliance Certification
- Records Management
- Billing and Collection Procedures
- Claims Processing
- Medisoft
- Electronic Health Record Software
- Medical Billing
- Insurance claims processing
Timeline
Medical Billing Specialist
Visalia Ambulatory surgical Center
07.2017 - Current
Billing Specialist
Visalia Cardiovascular & Medical Center
07.2017 - Current
Billing/Patient Account Manager
HyalganSharmaLife Line Billing Service (DSharmaSharma M.D.)
05.2008 - 06.2009
Office Janitorial Service
Self Employed
11.2001 - 01.2005
Billing Department
PM &R Associates (Michael Wlasichuk M.D and Dinesh Sharma M.D)
07.2001 - 06.2017
Medical Assistant
PM &R Associates (Externship 160 hours)
05.2001 - 07.2001
Housekeeping
Super 8 Motel
06.1998 - 06.2001
AMDA -
Golden State College
Mt. Whitney High School
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