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
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
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
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
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
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
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
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