Jenna Castaneda
Medical Billing Front office
Kerrville,Texas
Summary
Detail oriented quality focused professional billing specialist. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality. Bilingual EXPERIENCE 20 Years customer service (Multiple Industries) Cash handling and financial reconciliation 10 years receptionist experience 15 years EMR knowledge 15 years Document management HIPAA certified
Overview
12
12
years of professional experience
4
4
years of post-secondary education
Work History
Front Desk Receptionist
Dr. Veurink Orthopedics
Kerrville, Texas
07.2022 - 01.2023
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases.
- Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Helped patients complete necessary medical forms and documentation.
- Organized paperwork such as charts and reports for office and patient needs.
- Transcribed phone messages and relayed to appropriate personnel.
- Maintained current and accurate medical records for patients.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Responded to correspondence from insurance companies to verify patient's coverage.
- Supported office staff and operational requirements with administrative tasks.
Medical Biller, Accounts Receivable
Hill Country Audiology Service
Kerrville, TX
09.2020 - 08.2022
- Gathered information from multiple sources to simplify billing and organize accounts.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Collected payments and applied to patient accounts.
- Managed billing calendar and scheduled claims for payments.
- Posted payments and collections on regular basis.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Delivered timely and accurate charge submissions.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Managed banking reconciliations and monthly balance sheet statements.
- Managed journal entries, collection efforts, reconciliations and payroll processing.
- Completed bi-weekly payroll for company employees.
- Applied proper codes to invoices, files and receipts to keep records organized and easily searchable.
- Organized budget documentation and tracked expenses to maintain tight business controls.
- Applied mathematical abilities to calculate and check figures in accounting systems.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Updated employee files with new details such as changes in address or salary levels.
- Checked accrued hours against listed hours for leave time.
- Administered bi-weekly staff payroll and performed special calculations for commissions, reimbursements and benefit deductions.
Medical Biller
Advanced Medical Billing
Kerrville, TX
05.2017 - 05.2020
- Improved revenue for most recent provider over 30% with same patient load
- Experienced billing for Family Medicine, Workers Compensation, Vascular specialties
- Prepared, reviewed, and transmitted claims using billing software, including electronic and paper claim submission within timely guidelines
- Insure accuracy of insurance claims
- Verify correct ICD-10 and CPT codes for a variety of specialties
- Set up new patient accounts
- Assign ICD-10 to physicians diagnosis
- Insure correct level of service and various other CPT codes
- Set-up practice management software for submission of electronic claims to clearinghouse
- Work with clearinghouse to resolve file compatibility issues
- Retrieve and posted to EHR Electronic Remittance Advice (ERA's) and paper checks
- Post and reconcile insurance and patient payments
- 2
- Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
- Send secondary claims upon processing of primary insurance
- Monthly processing of Patient statements
- Answer and resolve patient billing inquiries
- Follow up on Insurance payments and patient collections
- Research denials and follow up on up on unpaid claims within in billing timeline
- Knowledgeable in timely filing restrictions
- Insure office practices are in compliance with HIPAA regulations
Medical Biller
The Firm
Hunt, TX
06.2015 - 05.2017
- Improved revenue for most recent provider over 30% with same patient load
- Experienced billing for Family Medicine, Workers Compensation, Vascular specialties
- Prepared, reviewed, and transmitted claims using billing software, including electronic and paper claim submission within timely guidelines
- Insure accuracy of insurance claims
- Verify correct ICD-10 and CPT codes for a variety of specialties
- Set up new patient accounts
- Assign ICD-10 to physicians diagnosis
- Insure correct level of service and various other CPT codes
- Set-up practice management software for submission of electronic claims to clearinghouse
- Work with clearinghouse to resolve file compatibility issues
- Retrieve and posted to EHR Electronic Remittance Advice (ERA's) and paper checks
- Post and reconcile insurance and patient payments
- Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts
- Send secondary claims upon processing of primary insurance
- Monthly processing of Patient statements
- Answer and resolve patient billing inquiries
- Follow up on Insurance payments and patient collections
- Research denials and follow up on up on unpaid claims within in billing timeline
- Knowledgeable in timely filing restrictions
- Insure office practices are in compliance with HIPAA regulations
Medical Biller
Peripheral Vascular Associates
San Antonio, TX
03.2010 - 01.2015
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Adhered to established standards to safeguard patients' health information.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Managed multi-line phone system and pleasantly greeted patients.
- Supported office staff and operational requirements with administrative tasks.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Education
Medical Billing and Transcription Microsoft Word Type 85 WPM -
San Antonio College of Medical And Dental Assistants
San Antonio, TX06.2006
High School Diploma -
John F Kennedy High School
San Antonio, TX 09.1993 - 06.1997
Skills
- Computer Proficiency
- Call Answering and Routing
- Telephone Etiquette
- Positive Attitude and Energetic
- Front Desk Operations
- Registration Services
- Referral Coordination
- Personnel Management
- Fee Collection
- Posting Charges
- Intuit QuickBooks
- Office Supplies and Inventory
- Bookkeeping Support
- File and Records Management
- Claim Handling
- Creative Solutions
- Administrative Office Operations
- Making Appointments
- Spreadsheet Tracking
- Accounting and Billing Software
Timeline
Front Desk Receptionist
Dr. Veurink Orthopedics
07.2022 - 01.2023
Medical Biller, Accounts Receivable
Hill Country Audiology Service
09.2020 - 08.2022
Medical Biller
Advanced Medical Billing
05.2017 - 05.2020
Medical Biller
The Firm
06.2015 - 05.2017
Medical Biller
Peripheral Vascular Associates
03.2010 - 01.2015
High School Diploma -
John F Kennedy High School
09.1993 - 06.1997
Medical Billing and Transcription Microsoft Word Type 85 WPM -
San Antonio College of Medical And Dental Assistants
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