Ivana Alfaro
Brea,CA
Summary
Dedicated Medical Billing and Coding Specialist with 5 years experience in full revenue cycle billing. Detail oriented with proven ability to grasp new skills and concepts quickly. Adaptable and resourceful; committed to providing excellent customer service.
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
Pathology Specialist of Arizona
Phoenix, AZ
07.2024 - 08.2024
Medical Coding and Billing Specialist
WEBeDoctor
02.2024 - 05.2024
- Correctly coded and billed claims for office, inpatient/outpatient services provided by general surgery practice.
- Accurately entered patient demographic and billing information in billing system
- Assisted in transitioning of new clearinghouse during Change Healthcare crisis by updating EMR and diligently tracking unprocessed claims
- Trained in understanding complex medical scenarios that required special attention during claim submission.
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
- 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 payers and utilizing various web portals
Medical Biller
Emed Pro Services
11.2022 - 06.2023
- Processed billing for Internal Medicine/Urgent Care providers
- Eligibility and Benefit verification
- Audited delinquent and aging insurance claims
- Posted and reconciled insurance and patient payments
- Prepared daily and monthly reports
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies
Education
NHA Billing & Coding Specialist Certification - Medical Billing And Coding
Northwest Career College
Las Vegas, NV07.2019
Skills
- Bilingual Spanish/English
- EMR Systems
- ICD 10, CPT and HCPCS Coding
- Medical Billing/Charge Entry
- Payment Posting
- Medical Terminology
- Accounts/Claims Reconciliation
- Appeals and Reconsiderations
- Insurance Eligibility and Benefits Verification
- eClinicalWorks, Medisoft, MicroMD, CollaborateMD
Timeline
Insurance Verification Specialist
Pathology Specialist of Arizona
07.2024 - 08.2024
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
NHA Billing & Coding Specialist Certification - Medical Billing And Coding
Northwest Career College
Similar Profiles
ROCHELLE SNYDERROCHELLE SNYDER
Ophthalmic Assistant at Arizona Glaucoma SpecialistOphthalmic Assistant at Arizona Glaucoma Specialist
Allison DelongAllison Delong
Dental Practice Manager at Orthodontic specialist of ArizonaDental Practice Manager at Orthodontic specialist of Arizona
Alondo TsoAlondo Tso
Labor Worker at Arizona Highway Safety Specialist, Inc.Labor Worker at Arizona Highway Safety Specialist, Inc.