Hollie Ciurleo
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Medical Billing Specialist
Northern Bay Women's Health Center
Plano, TX
11.2015 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Pre-certified medical, radiology procedures, and surgeries.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Delivered timely and accurate charge submissions.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Auditor
Valley Orthopedic Institute
Palmdale, CA
09.2011 - 08.2015
- Download electronic deposit and post paper deposit to accounts accordingly, made sure deposit balanced and had deposit ready for courier
- Received and work all incoming correspondence
- Prepared weekly aging report for meeting
- Audit accounts to make sure accounts were paid correctly and accordingly
- Prepared and mailed patient statements monthly
- Turned delinquent patient accounts over to collection company
- Work all denials and appealed accordingly
- Handle returned mail; updated system with corrected info
- Process secondary claims with primary EOB attached
- Prepared refund requests and conveyed monies accordingly
- Receives incoming billing inquiries and handled calls accordingly
- Handle PI Cases, Workman's Comp and Private Insurances.
PRM Billing/Administrative Support Representative
Southern California Orthopedic Institute
Van Nuys, CA
09.2008 - 09.2011
- Review credit balances, prepare refund requests for PRM
- Conveys patient monies as required
- Received and distributed all incoming billing client correspondence
- Received incoming calls for PRM clients and triaged to billing department as necessary
- Post charges for billing clients as assigned
- Assists with monthly meeting preparation
- Prepares weekly Billing Status and Needs Attention Reports
- Scan and save appeals in correct folder and mail.Billing Office Assistant
- Logged into Billing ACD as assigned; answered and handled calls accordingly
- Obtained medical records for Insurance Representatives as needed for claims processing
- Sorted and mailed paper claims with required reports and documentation
- Handled all zero-pay EOB's; prepared batches for posting
- Handled all incoming correspondence; scanned and distributed to assigned staff accordingly
- Handled all returned mail; updated system with corrected info
- Processed secondary claims with primary EOB attached
- Refund Coordinator
- Pulled accounts with Overpaid or Refund Status
- Conveyed patient money to outstanding patient balances as needed
- Identified when refund is due to patient or insurance company and completed the appropriate paperwork
- Sent completed paperwork to Accounting Department for issue of refund check, made appropriate adjustments and notes in account; mailed check accordingly
- Responded to patient inquiries regarding account balance and pending refunds.
Administrative Medical Assistant
Kantor Chiropractic
Santa Clarita, CA
12.2006 - 06.2007
- Handled PI cases and Workman's Comp cases as well as Private Insurances
- Verified Chiropractic coverage as well as Physical Therapy
- Posted payments accordingly
- Data Entry
- Answered telephones and set appointments
- Collections
- Medical Billing.
Front Office Receptionist
Beck Psychiatric Medical Group
Lancaster, CA
06.2005 - 10.2005
- Opened Facility
- Answered telephones and set appointments
- Checked patients in and out, collected co-pays
- Data Entry
- Collections
- Medical Billing
- Pulled and filed charts.
Medical Billing Assistant
First Occupational Medical Group
Valencia, CA
07.2001 - 06.2005
- Workman's Compensation Billing/ Private Insurance/ ROA's
- Collections
- Answered telephones and set appointments
- Pulled and filed charts
- Typed Doctor's First Report of Injury
- Charges
- Handled all billing inquiries.
Education
Professional Medical Coding Curriculum -
Corrie Alvarez CPC, CPC-I, CEDC
Administrative Medical Assistant Diploma -
Clarita Career College
01.2001
Skills
- Medicare and Medicaid Process
- Bill Payment
- Teamwork and Collaboration
- Multitasking and Organization
- Claims Processing
- Claims Review
- Medical Claims Submission
- Payment Posting
- Account Reconciliation
- Data Entry
- Clerical Support
Timeline
Medical Billing Specialist
Northern Bay Women's Health Center
11.2015 - Current
Auditor
Valley Orthopedic Institute
09.2011 - 08.2015
PRM Billing/Administrative Support Representative
Southern California Orthopedic Institute
09.2008 - 09.2011
Administrative Medical Assistant
Kantor Chiropractic
12.2006 - 06.2007
Front Office Receptionist
Beck Psychiatric Medical Group
06.2005 - 10.2005
Medical Billing Assistant
First Occupational Medical Group
07.2001 - 06.2005
Professional Medical Coding Curriculum -
Corrie Alvarez CPC, CPC-I, CEDC
Administrative Medical Assistant Diploma -
Clarita Career College