Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.Believe in "Team work is a Dream work"
Overview
11
11
years of professional experience
Work History
Billing Specialist AR/AP
Elida Beauty
03.2024 - 07.2025
Researched and resolved billing discrepancies to enable accurate billing.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Worked with multiple departments to check proper billing information.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Used data entry skills to accurately document and input statements.
Monitored outstanding invoices and performed collections duties.
Utilized various software programs to process customer payments.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Perform other duties as assigned.
Document Control Specialist
Citibank
08.2023 - 02.2024
Reviewed document control records for accuracy and completeness.
Developed and implemented document control procedures to ensure compliance with company standards.
Maintained all documents in a secure electronic database.
Coordinated document reviews and approvals between departments.
Managed the release of confidential information in accordance with legal regulations.
Assisted with the development of new documentation systems, processes, and templates.
Maintained an updated library of all current corporate documents including manuals, forms, policies.
Insurance Verification Coordinator
Alliance Rx Walgreens Prime Specialty Pharmacy
11.2016 - 09.2022
Pharmacy tech/medical billing & coding
Collaborated with internal departments such as billing and coding teams.
Verified insurance coverage for patients by contacting insurance companies and obtaining necessary information.
Inputted patient data into system to ensure accuracy of demographic information.
Maintained up-to-date knowledge of changes in insurance policies, procedures, and regulations.
Provided customer service support to answer inquiries from health care providers regarding insurance verification issues.
Reviewed medical records for completeness, accuracy, and compliance with relevant laws and regulations.
Generated reports detailing status of pending insurance verifications.
Accessed third-party insurance databases to identify coverage of benefits.
Prepared correspondence for appeals when necessary due to denied claims.
Advised customers about their benefits packages, deductibles, copays.
Speciality med pharmacy
Work as a SME
Rx processing,make outbound/inbound call to Dr office
Insurance verification and medical billing/coding
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Lead Patient Care Coordinator
Express Scripts
12.2014 - 10.2016
Work as a SME perform medical billing/coding
CRM
Insurance verification and make outbound/inbound call
Creating report
Assisted in developing and implementing patient care plans.
Provided direction to staff members on patient care issues.
Monitored, evaluated, and reported patient progress to physicians.
Coordinated with other healthcare professionals to ensure optimal patient care.
Performed routine assessments of patients' physical condition.
Maintained accurate medical records for all patients under care.
Developed strategies for improving quality of service delivery to patients.
Implemented new policies and procedures related to patient care.
Ensured that all safety protocols were followed during patient treatment.
Identified areas of opportunity for improved patient outcomes.
Resolved conflicts between staff members regarding patient care decisions.
Supervised the work of nurses, therapists, social workers., as required.
Scheduled appointments for patients according to their needs.
Completed insurance verifications and claim forms for patient intake and processing.
Education
Medical Billing And Coding Specialist
U.S career institute
Denver, co
01.2018
Bachelor of business -
East west university, Education
12.2014
Associate of Science -
Saint Joseph College
2006
High School Diploma -
GOVT Highschool
12.2004
Skills
Processing,excellent communication skill
PERSONAL PROJECTS
Employee of the year (12/2018)
Achievements/Tasks
Medical billing/coding specialists
Reporting Capabilities
Document Organization
Document Distribution
Information Retention Policies
Records Maintenance
Project Support
Billing specialist in AR/AP
Quality Assurance
Special Projects
Formatting Understanding
Regulatory Controls
File Migrations and Audits
Office Equipment Maintenance
Policy Development
Data Accuracy
Process Improvements
Standard Operating Procedures
File Documentation
Process Auditing
Compliance Controls
Records Management
Document Scanning
Database Management
Electronic Records Management
Skilled in MS office, Excel, outlook,team, Salesforce, SQL,Pivot table,Vlookup,PBM
President and Head of Mission Servicing Residential, Inc at Mission Servicing Asset Management, LLCPresident and Head of Mission Servicing Residential, Inc at Mission Servicing Asset Management, LLC