Jacqueline Rosas
Riverdale Park,MD
Summary
Results-driven Medical Biller with expertise in insurance claims and billing at Riverdale Park Pediatric. Proven track record in resolving denied claims and managing appeals, leading to successful reimbursements. Strong knowledge of CPT coding and exceptional communication skills enhance collaboration with healthcare providers and ensure compliance in claim submissions.
Overview
9
9
years of professional experience
Work History
Medical Biller
Riverdale Park Pediatric
07.2020 - 03.2025
- Processed insurance claims accurately and efficiently, ensuring timely reimbursement for pediatric services.
- Reviewed patient records to verify coding compliance and resolve discrepancies with insurance providers.
- Collaborated with healthcare providers to obtain necessary documentation for claim submissions and audits.
- Mentored junior billing staff on best practices for coding accuracy and efficient workflow management.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected payments and applied to patient accounts.
Stocker
Burlington Coat Factory Store
07.2016 - 12.2019
- Maintained organized stock levels on sales floor, ensuring optimal product placement and accessibility.
- Collaborated with team to unload freight shipments efficiently, adhering to safety protocols.
- Assisted in inventory management by tracking stock quantities and performing regular audits.
- Ensured merchandise displays were visually appealing and aligned with store standards.
- Unloaded, sorted and stocked merchandise according to store layout and product placement.
- Answered customer questions and provided detailed product information.
Education
High School Diploma -
Parkdale High School
Riverdale Park, MDSkills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- Insurance verification
- CPT knowledge
- Claim submission
- CMS-1500 billing forms
Languages
Spanish
Native or Bilingual
Timeline
Medical Biller
Riverdale Park Pediatric
07.2020 - 03.2025
Stocker
Burlington Coat Factory Store
07.2016 - 12.2019
High School Diploma -
Parkdale High School