JANIELLE FREGOSO
Montebello,CA
Summary
Driven Medical Coder motivated to perform beyond expectations. Reliable and dependable performer with great decision-making skills. With a strong foundation in coding and medical terminology, I’m capable of overseeing accounts and efficiently handling records management tasks. Being organized and dependable, I can successfully manage multiple priorities with a positive attitude.
Overview
9
9
years of professional experience
Work History
Medical Coding/ Biller Specialist
Huntington Reproductive Fertility- HRC
Pasadena , CA
2023.02 - Current
- Review medical documents, translated information into codes and verified accuracy of medical codes
- Assigned codes correctly and sequenced per insurance/ government regulations
- Confirming treatments with medical staff and identify missing information
- Post charges for the various offices and outside labs
- Audit and reconcile invoices received from third party vendors
- Accurately review accounts and apply payments to provider and facility
- Post charges within and in excess of target daily, weekly, and monthly goals
- Daily reconciliation of claims posting and financial totals; Identify coding or billing trends or issues and review
- Preparing accounts receivable or departmental reports as assigned
- Assign appropriate medical codes to diagnoses and procedures for billing and reimbursement purposes
- Collaborate with healthcare providers to clarify information and ensure proper coding
- Assist with collection of old and current AR.
Medical Biller
Beverly- Alvarado Medical Center
Los Angeles , CA
2021.06 - 2023.01
- Prepared CMS-1500 Forms, monitored all billings for accuracy
- Verified patient eligibility and requested authorizations from patient insurances
- Knowledge and ability of medical systems (Office Ally/ Medisoft)
- Posting of medical payments, adjustments, and denials
- Assisted with monthly reporting processes
- Submission of authorized claims, correction of claims, sending claim appeals, and follow ups on claims
- Resolve patient queries via phone, email, and mail, keeping patients informed of billing and payment statuses
- Insurance follow-up process and understanding of government, Medicare and Medicaid, claims.
Onsite Manager/ Talent Acquisition Specialist
BBSI
Ontario , CA
2015.11 - 2021.06
- Properly conducted orientation and training of new hire employees in line with company policies/ procedures
- Assisted with day-to-day operations of the HR functions and duties
- Manage and enforce safety policies and procedures of corporate/ client, as well as conduct safety inspections
- Monitored employee performance goals and provided constructive feedback to achieve goals
- Handled injuries and emergencies accordingly and completed reports to provide to safety
- Assisted with payroll including review of timesheets and verification of employees work hours
- Resolves payroll discrepancies by collecting and analyzing information and interacting with HR
- Full cycle recruiter, assisting in filling orders for 7 different clients
- Ensure compliance with company policies and procedures
- Coordinated drug screens and background screens, and handle all new hire paperwork
- Entered sensitive applicant information into applicant tracking system, conducted drug screens and background checks
- Perform coaching, counseling, disciplinary action or termination of employees.
Education
Certificate - Certified Professional Coder (CPC)
American Academy of Professional Coders - AAPC
Diploma - Medical Billing & Coding
American Career College - Los Angeles, CA
Bachelor of Science - Business Administration Human Resource Management
California State University Long Beach - Long Beach, CA
Skills
- Time management
- Charges/Payment Posting
- Analytical Skills
- Insurance Claims
- Appeal Letters
- Medical Terminology
- CPT Coding/ Modifiers
- Diagnostic Codes
- CMS-1500 Billing Forms
- Eligibility/ Authorizations
- Typing Speed of 65wpm
- 10-Key Data Entry
Languages
- English
- Spanish
Timeline
Medical Coding/ Biller Specialist
Huntington Reproductive Fertility- HRC
2023.02 - Current
Medical Biller
Beverly- Alvarado Medical Center
2021.06 - 2023.01
Onsite Manager/ Talent Acquisition Specialist
BBSI
2015.11 - 2021.06
Certificate - Certified Professional Coder (CPC)
American Academy of Professional Coders - AAPC
Diploma - Medical Billing & Coding
American Career College - Los Angeles, CA
Bachelor of Science - Business Administration Human Resource Management
California State University Long Beach - Long Beach, CA
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