Inez Hernandez
Perris,CA
Summary
Medical Billing and Coding Specialist with 18 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
17
17
years of professional experience
Work History
Medical Coder
NURICK SURGICAL INSTITUTE
06.2018 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
Medical Billing and Collections Specialist
Dr. Arnold Roth MD
09.2016 - 06.2018
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Facilitated effective communication between healthcare providers, patients, and insurance companies to resolve billing disputes promptly.
- Increased overall collection rates with a focus on reducing aged receivables and minimizing writeoffs.
- Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
- Collaborated with team members to identify trends in unpaid claims and develop strategies for resolution.
- Contributed significantly towards reducing the number of denied claims by identifying potential issues upfront during the initial review phase of the process.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Assisted in reconciling deposit and patient collections.
- Logged charges and payments .
- Handled account payments and provided information regarding outstanding balances.
- Responded to patients concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
- Generated monthly billing and posting reports for management review.
Medical Biller and Coder
Metroploitan Medical Clinics
04.2014 - 09.2016
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
Medical Insurance Biller
Javier R Rios MD Inc
11.2006 - 12.2012
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly.
- Streamlined claim processing for faster payments by maintaining accurate patient records and insurance information.
- Reduced claim denials by effectively communicating with healthcare providers to obtain necessary documentation and information.
Education
No Degree - MEDICAL BILLING CODING CERTIFICATE
Everest College - Los Angeles
Los Angeles, CAHigh School Diploma -
Manual Arts Senior High School
Los Angeles, CASkills
- Reading Comprehension
- Diagnostic Codes
- Data Verification
- Reviewing Patient Information
- Medical Terminology
- Data Entry
- CPT Code Modifiers
- Coverage Determination
- Accounts Payable and Accounts Receivable
- Medical Claims Coding
- ICD-10 (International Classification of Disease Systems)
- EMR Systems
- Operational Requirements
- Records Management
- Data Security Procedures
- ICD-10 Requirements
Languages
Spanish
Native or Bilingual
Timeline
Medical Coder
NURICK SURGICAL INSTITUTE
06.2018 - Current
Medical Billing and Collections Specialist
Dr. Arnold Roth MD
09.2016 - 06.2018
Medical Biller and Coder
Metroploitan Medical Clinics
04.2014 - 09.2016
Medical Insurance Biller
Javier R Rios MD Inc
11.2006 - 12.2012
No Degree - MEDICAL BILLING CODING CERTIFICATE
Everest College - Los Angeles
High School Diploma -
Manual Arts Senior High School
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