Ivana Alfaro
Medical Billing And Coding Specialist
Summary
Dedicated Medical Billing and Coding Specialist with 4 yrs experience in inpatient, outpatient and physician medical billing and office support administration. Detail oriented with proven ability to grasp new skills and concepts quickly. Adaptable and resourceful; committed to providing excellent customer service and contributing to the company's overall success.
Overview
4
4
years of professional experience
1
1
Language
Work History
Medical Coding and Billing Specialist
WEBeDoctor
02.2024 - 05.2024
- Correctly coded and billed claims for office, outpatient and inpatient services provided by general surgery practice.
- Accurately entered patient demographic and billing information in billing system
- Assisted in the transitioning of new clearinghouse during the Change Healthcare crisis.
- Trained in understanding complex medical scenarios that required special attention during claim submission.
Medical Biller
Emed Pro Services
11.2022 - 06.2023
- Processed billing for Internal Medicine and Urgent Care providers
- Eligibility and Benefit verification
- Audited delinquent and aging insurance claims
- Reviewed billing edits and provided insurance companies with corrected information
- Submitted appeals and reconsiderations on denied claims
- Posted and reconciled insurance and patient payments
- Prepared daily and monthly reports
Medical Coding and Billing Specialist
Med-Strategies
07.2019 - 08.2022
- Processed full cycle medical billing for an FQHC facility specializing in Family Planning, Sexual Health, HIV, Refugee, Family Health and Immunizations
- Identified patterns of miscoding/under coding, resulting in increased revenue
- Coded Observation/Inpatient Physician services as well as office visits
- Ensured pending claims were entered and submitted within 48 hrs. of receipt
- Assigned ICD 10, CPT, HCPCS and modifiers based on clinical documentation and services rendered
- Entered patient demographics and insurance information
- Verified insurance eligibility by contacting insurance companies or utilizing various web portals
Education
CBCS Certification - Medical Billing And Coding
Northwest Career And Technical Academy
Las Vegas, NV 05.2001 -
Skills
ICD 10, CPT and HCPCS Coding
Medical Billing/Charge Entry
Payment Posting
Medical Terminology
Appeals and Reconsiderations
Medicaid, Medicare and Private Insurance
Microsoft Office (Word, Excel and Powerpoint)
HIPAA Compliance
Data Management
eClinicalWorks , Medisoft, Collaborate MD and MicroMD
Insurance and Patient Aging Reports
Timeline
Medical Coding and Billing Specialist
WEBeDoctor
02.2024 - 05.2024
Medical Biller
Emed Pro Services
11.2022 - 06.2023
Medical Coding and Billing Specialist
Med-Strategies
07.2019 - 08.2022
CBCS Certification - Medical Billing And Coding
Northwest Career And Technical Academy
05.2001 -