Francisco Mendez
Long Beach,CA
Summary
I strive in becoming a proficient Medical collector. In order, to assist people receive the care required. Driven to take on new challenges to exercise newly learned skills while I grow in my position.
Overview
4
4
years of professional experience
Work History
Coach Operator
Keolis/ OCTA-Orange Couty Transportation Authority
07.2024 - Current
- Increased on-time performance by effectively navigating through heavy traffic conditions while remaining attentive to passengers'' needs.
- Resolved customer concerns promptly and diplomatically, maintaining a high level of customer satisfaction.
- Contributed to team success by participating in training sessions and sharing best practices with peers.
- Improved passenger satisfaction by consistently providing safe, timely, and comfortable transportation services.
- Enhanced route efficiency through regular analysis of schedules and traffic patterns.
- Participated in regular safety meetings to stay current on new policies, procedures, and equipment updates.
- Demonstrated adaptability by stepping in for other routes as needed to support team members during absences or emergencies.
- Assisted passengers with special needs, ensuring accessibility and a positive travel experience.
- Completed pre- and post-trip bus inspections for safe passenger transportation.
- Transported passengers safely along prescribed routes according to tight schedules.
- Communicated regularly with central dispatch teams to report delays and route changes.
- Maintained a Class B driver's license with Air brakes & Passenger endorsements to enable legal transportation of passengers including student, passengers with disabilities.
Medical Insurance Collector
KPC Healthcare
11.2022 - 07.2023
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Researched and resolved complex medical claims issues to support timely processing.
- Entered client details and notes into system for interdepartmental access and review.
- Researched billing errors and discrepancies to initiate corrective action.
- Worked with several insurance portals, and have a
- great understanding or Paragon as well as sunrise medical management software.
- Worked with authorizations and have a strong understanding.
- Communicate with insurance providers to resolve denied claims and follow up on resubmitted claims
Medical Billing Clerk
Premier Infusion & Health Care Services
11.2021 - 11.2022
- Review patient records, identify medical codes, and create invoices for billing purposes.
- Post payments and Denials approximately 230+ a day
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Gather information from multiple insurance sources to simplify billing and organize accounts.
- Deliver timely and accurate charge submissions.
- Review patient diagnosis codes to verify accuracy and completeness.
- Prepare billing statements for patients and verified correct diagnostic coding.
- assisted with speaking to patients and help them set up payment plans.
Medical Biller, Accounts Receivable
Acclaim Recovery Management
05.2021 - 11.2021
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
Education
Medical Billing & Coding - Medical Billing & Coding
North-West College-Long Beach
Long Beach02.2021
Skills
- Experience using Medical Practice Management Software, currently CPR, Paragon, Sunrise management system
- Clearing house familiarity (Waystar, Change Health)
- Comprehension of CPT, ICD-10 Diagnostic and Procedural Coding
- HCPCS/Modifiers
- Checking eligibility and Benefits using Availity and DHCS medical portal
- Submitting electronic claims and mailing CMS-1500 forms with proper documentation and EOBs
- Microsoft Word, Excel, and PowerPoint
- Complete understanding of appeals process, claims, tracking, and follow-ups
- Collections and Reimbursements
- Acquainted with Medicare rules and regulations
- Contacting Insurances regarding claim denials, missing information or underpayments, and overpayments
- Resolving claim mistakes or missing information and resubmitting
- Experience in accounts receivable, collections
- Reviewing, updating, and correcting Patient Information
- Reviewing remittance advice batches
- Answering calls from pts about payments and copays
- Claim Processing, Benefits Verification
- Posting of payments, denials approximately 230 a day
Timeline
Coach Operator
Keolis/ OCTA-Orange Couty Transportation Authority
07.2024 - Current
Medical Insurance Collector
KPC Healthcare
11.2022 - 07.2023
Medical Billing Clerk
Premier Infusion & Health Care Services
11.2021 - 11.2022
Medical Biller, Accounts Receivable
Acclaim Recovery Management
05.2021 - 11.2021
Medical Billing & Coding - Medical Billing & Coding
North-West College-Long Beach
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