Frances Zabala
NY
Summary
This version succinctly captures your role evolution, specific expertise, and skills, positioning you as an experienced medical billing professional with a comprehensive understanding of office management and insurance processes.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Medical Biller and Office Manager
Cambridge Podiatry
05.2010 - Current
- Serve as the sole employee, handling diverse responsibilities across administrative, billing, and customer service functions in a high-volume podiatry office
- Reception & Front Office Management: Manage two phone lines, handle patient scheduling, demographic intake, and file management
- Answer inquiries about HIPAA laws, patient deductibles, and financial responsibilities, ensuring transparency and pre-visit eligibility verification
- Insurance Verification & Claims Processing: Proficient in all major insurance types, including Medicare CMS and advantage plans
- Perform prior authorizations for surgeries, DME (e.g., diabetic shoes, custom orthotics, ankle braces), and medications
- Medical Billing: Expertise in EBS software; create electronic claim batches, post EOBs, resolve underpaid/rejected claims, and maintain a strong focus on accurate account reconciliation
- Accounts Receivable: Handle outstanding balances, set up payment plans, and manage patient communication regarding financial obligations
- Office Software: Extensive experience with Sammy ICS and EBS billing software
- Skills: Medical Billing | Insurance Verification | Account Resolution | CPT Coding | ICD-9/ICD-10 | Customer Service Management | EMR | CMS-1500 | Healthcare Reimbursement | Data Entry
Certified Medical Assistant/Manager
Dr. Robert Oropall D.P.M
01.1995 - 05.2010
- Progressed from a Medical Assistant to Office Manager, overseeing daily operations, coordinating benefits, and managing billing
- Responsibilities: Provided comprehensive patient care, handled billing inquiries, and managed coding and insurance reimbursement processes
- Skills: Customer Service | CPT | ICD-10 | Billing Systems | Account Resolution | Data Entry | Medicaid/Medicare
Medical Assistant
Jonathan E. Leonard, P.C.
08.1992 - 12.1995
- Began as a Medical Assistant, advancing to roles in billing and management
- Skills: Coding Experience | Customer Service Management | Account Resolution | Medicare/Medicaid Reimbursement | Data Entry
Education
Associate of Applied Business - Business Administration And Management
Monroe College
Bronx, NY06-1997
Skills
- Medical Billing
- Insurance Verification
- Account Resolution
- CPT Coding
- ICD-9
- ICD-10
- Customer Service Management
- EMR
- CMS-1500
- Healthcare Reimbursement
- Data Entry
- Customer Service
- Billing Systems
- Medicaid
- Medicare
- Coding Experience
- Medicare/Medicaid Reimbursement
Certification
Certified Medical Assistant
Languages
Spanish
Native or Bilingual
Timeline
Medical Biller and Office Manager
Cambridge Podiatry
05.2010 - Current
Certified Medical Assistant/Manager
Dr. Robert Oropall D.P.M
01.1995 - 05.2010
Medical Assistant
Jonathan E. Leonard, P.C.
08.1992 - 12.1995
Associate of Applied Business - Business Administration And Management
Monroe College
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