Hilda Anguiano, CBCS
Norwalk,CA
Summary
Certified Medical Billing and Coding Specialist with 14 years of experience in accurately coding and processing medical claims. Proficient in ICD-10, CPT, and HCPCS coding systems, with a strong understanding of HIPAA regulations and insurance billing procedures. Demonstrated ability to reduce claim denials and improve reimbursement rates through meticulous attention to detail and effective communication.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Billing Specialist
Dr. Chengalroyan Raghunathan, MD
06.2007 - 06.2022
- Processed insurance claims for Medicare, Medicaid, private and HMO insurance providers.
- Maintained patient billing records and ensured timely submission of claims.
- Troubleshoot issues with claims, review patient and insurance records, obtain supplemental information from healthcare providers to ensure accurate billing
- Trained and mentored junior billing staff, improving team efficiency and accuracy
- Respond to billing inquiries from patients, insurance companies, and healthcare providers. Research claim status, resolve billing discrepancies, and communicate effectively to ensure timely payment and resolution of issues.
- Maintain up-to-date knowledge of healthcare billing regulations, coding guidelines, and payer policies. Ensure compliance with HIPAA, CMS, and other regulatory requirements governing medicaid billing practices.
- Use electronic health record (EHR) systems and billing software to input, update, and manage patient demographic information, insurance details, and billing records accurately and securely.
Education
High School Diploma -
Norwalk High School
Norwalk, CA06-1999
Skills
- ICD-10-CM, CPT, and HCPCS Level II Coding
- Medical Billing Software (eclinical Works)
- Insurance Verification (Medicare, Medicaid, PPO and HMO)
- Monitored and evaluated clearinghouse rejection reports to reduce first- time claim submission errors
- Analysis of daily revenue and account receivable reports
- Payment posting
- Detailed account audits
- Verify patient eligibility
- Authorization and precertification
Certification
- Certified Billing and Coding Specialist (CBCS) National Healthcareer Association (NHA), 2025
- HIPAA CERTIFIED, 2025
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Billing Specialist
Dr. Chengalroyan Raghunathan, MD
06.2007 - 06.2022
High School Diploma -
Norwalk High School
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