Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Medical Management Coordinator
ALL CARE IPA
MODESTO, CA
10.2022 - 07.2023
Data Entry
Responsible for entering and closing authorizations from outside providers.
Responsibilities include but are not limited to ,verifying the information on each authorization request is correct, such as CPT and Diagnosis codes and provider specialty type
Create and fax out authorization approval letters to providers
Worked with Excel and Word
General medical knowledge and understanding of medical terminology
Medical Billing Manager
EAG Professional Medical Corp
Modesto, CA
07.2018 - 09.2022
Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
Oversaw daily activities related to the processing of electronic claims submissions.
Coordinated efforts between departments regarding patient follow up activities associated with denials or rejections.
Maintained detailed records of all payments received from patients or third-party payers.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Assisted in developing policies and procedures related to medical billing operations.
Negotiated contracts with payers to maximize reimbursement rates for services rendered.
Medical Receptionist
EAG Professional Medical Corp
Modesto, CA
07.2013 - 07.2018
Routed laboratory or diagnostic results to appropriate staff.
Protected patients by observing strict HIPAA guidelines.
Transmitted medical records and other correspondence by mail, e-mail, or fax.
Interviewed patients to complete case histories and intake forms.
Ordered and maintained supply inventory for medical office.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Took messages from patients and promptly relayed to appropriate staff.
Checked patients in and out for appointments and collected co-payments.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Education
Associate of Applied Science - Medical Assisting
Heald College - Central Administrative Office
Salida, CA
07-2012
Skills
Administrative Leadership
Data Entry
Business Administration
Contract Management
Document Management
Medical Terminology
Insurance Verification
Schedule Coordination
Medical Billing
Languages
Spanish
Limited
Timeline
Medical Management Coordinator
ALL CARE IPA
10.2022 - 07.2023
Medical Billing Manager
EAG Professional Medical Corp
07.2018 - 09.2022
Medical Receptionist
EAG Professional Medical Corp
07.2013 - 07.2018
Associate of Applied Science - Medical Assisting
Heald College - Central Administrative Office
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