Grace Miranda
Fort Worth,TX
Summary
Dynamic medical billing professional with 18 years of extensive experience specializing in Ambulatory Surgical Center (ASC) billing. Expertise in utilizing advanced billing software, including Allscripts and Kareos. Proven track record of effectively applying CPT, ICD-10-CM, and HCPCS guidelines to ensure compliance and maximize revenue. Recognized for exceptional organizational skills and a collaborative approach, consistently delivering high-quality results in fast-paced, high-volume environments.
Overview
19
19
years of professional experience
Work History
Medical Biller
Core One Med
10.2022 - 11.2024
- Daily utilization of various software programs, including E-Clinical, Prime Clinical, HST, Mednet, Kareo, Ebridge, Waystar, and Office Ally.
- Consistently worked in Waystar and Office Ally clearinghouses for EDI rejections, and ensured clean electronic claim submission for multiple insurances.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Submitted claims for UB-04 and Professional CMS-1500 forms.
- Handled the ASC billing for multiple accounts, and assisted with the implementation for new accounts that were onboarding.
- Charge entry for professional billing (CMS-1500).
- Submission of electronic claims.
- Ensure accurate charge entry into designated billing systems, with correct usage of ICD-10, CPT, and HCPCS codes.
- Followed insurance and coding guidelines for accuracy.
- Responsible for processing medical data and applying patient copay payments.
Medical Biller
Coronis Health (Previously Known as Medical Practice Management Resources Inc From 2013-2020)
07.2013 - 10.2022
- Experienced in Charge Description Master (CDM) review and itemization of medical supplies, drugs, equipment, and revenue codes utilizing excel spreadsheets.
- Knowledgable with various software programs, including Allscripts, HST, SIS, Kareo, Prognosis, and Ebridge.
- Consistently worked in Waystar and Office Ally clearinghouses for EDI rejections, and ensured clean electronic claim submission for multiple insurances.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Submitted electronic and paper claims for both UB-04 and Professional CMS-1500 forms.
- Handled the ASC billing for multiple specialties and assisted with the implementation for new accounts that were onboarding.
- Trained new employees on medical billing software and charge entry workflows.
- Charge entry for both ASC and professional billing
- Ensure accurate charge entry into designated billing systems, with correct usage of ICD-10, CPT, and HCPCS codes.
- Responsible for processing medical data and applying patient copay payments.
Medical Biller
California Health Medical Billing
06.2009 - 01.2011
- Charge entry medical billing and insurance payment posting.
- Utilized PCN and Allscripts software.
- Professional Fees Charge Posting.
- Processed medical data and posted patient payments.
Medical Biller
Medical Practice Management Resources Inc
08.2005 - 07.2009
- Medical Biller (UB-04, UB-92, and Professional CMS 1500 forms)
- Utilized Medinformatix, Ramsoft software.
- ASC and Professional Fee Billing
- Submission of electronic claims to Office Alley, ENS.
- Responsible for the processing of medical data and applying patient payments.
- Itemizations for numerous medical facilities utilizing Excel spreadsheets.
- Telephone communication skills with numerous clientele.
- Assist the supervisor with various duties, including meeting month-end deadlines.
Education
GED -
Valley Adult School
Lake Elsinore, CA2005
Certified Outpatient Coder (COC) - Progress
AAPC
2027
Skills
- Specialize in ASC (Outpatient/Surgery Center) billing for specialties such as pain management, gastroenterology, orthopedics, and other general procedures
- Proficient in Microsoft Excel, Word, and 10-key
- Extremely organized, detail oriented with the ability to multi-task
- Have the ability to take initiative, set priorities and meet deadlines
- Easy to work with, team player, quick learner, reliable and trustworthy
- Highly responsible, self-motivated and dedicated employee
- Experienced with billing for Medicare, Medi-Cal, PPO, HMO, private, and military insurances
- Knowledgeable with multiple billing software such as Allscripts, Kareos, HST, SIS, and Kareos
- Account management
References
References available upon request.
Timeline
Medical Biller
Core One Med
10.2022 - 11.2024
Medical Biller
Coronis Health (Previously Known as Medical Practice Management Resources Inc From 2013-2020)
07.2013 - 10.2022
Medical Biller
California Health Medical Billing
06.2009 - 01.2011
Medical Biller
Medical Practice Management Resources Inc
08.2005 - 07.2009
Certified Outpatient Coder (COC) - Progress
AAPC
GED -
Valley Adult School