JENNIFER De Los Reyes
Summary
Diligent and Certified Biller and Coder eager to contribute expertise to a dynamic company where I can optimize practice operations and foster career growth. Proficient in front and back-office roles encompassing surgery scheduling, medical insurance billing/coding, and patient care. Known for meticulous attention to detail and adeptly managing complex assignments and administrative tasks. Talented Accounts Receivable Specialist with several years' experience in financial services, collections and customer care management across diverse industries. Knowledgeable, analytical, and personable with excellent problem solving skills and strengths in areas of credit and collections. Proven to improve workflow efficiencies while maintaining high standards in customer service.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Accounts receivable specialist
Magruder Vision
01.2024 - Current
- Facilitated Accounts receivable for multiple MD’s and OD’s
- Maintained the required quota of min. 50 claims per day as well as many other billing tasks.
- Worked directly with on site staff for multiple locations to educate and collect patient balances
- Worked directly with mgmt. on multiple AR projects to clean up old balances
- Filed Appeals & Reconsiderations/All requests to vision & commercial insurances
- Worked daily all system claim rejections
Medical Billing Specialist
Secured Medical Billing, LLC
01.2015 - 01.2024
- Handled the transmission of electronic claims to various clearinghouses, alongside the submission of CMS 1500 forms to both auto/workers comp and health insurance providers.
- Conducted weekly follow-ups on insurance aging and managed in-house demands for unpaid personal injury claims.
- Proficiently handled the posting of payments, denials, deductibles, and Electronic Remittance Advice (ERA) & all necessary appeals, in addition to managing insurance verifications and doctor credentialing.
- Provided monthly reports to providers, to better indicate areas for higher reimbursement.
- Actively participated in State and National conventions to strategically promote company services, aiming to expand clientele base.
Surgery Scheduling Coordinator/Department Manager
Sea Spine Orthopedic Institute
01.2013 - 01.2014
- Orchestrated the scheduling of all in-house EMG/NCV tests, pain management injections, and diagnostic procedures for patients.
- Efficiently coordinated spine and extremity procedures/surgeries for multiple physicians across outpatient facilities and hospitals.
- Proficiently managed personal injury cases, providing comprehensive medical and legal documentation to attorneys and healthcare facilities.
- Skillfully handled the collection of co-payments, obtained necessary medical authorizations, and managed a high-volume telephone system with professionalism and responsiveness.
Education
Certified Medical Billing & Coding -
Florida Career College
01.2013
Skills
- Bilingual communication (English and Spanish)
- Full-service billing expertise
- Department management
- Marketing strategies
- Team collaboration
- Training and development
- Quality control
- Workplace adaptability
- Microsoft Office proficiency
- Medisoft experience
- Chirotouch knowledge
- TheraBill familiarity
- Tebra platform skills
- WebPT expertise
- Prompt billing software knowledge
- ClaimFusion operations
- MedEvolve understanding
- iMedicWare proficiency
- Insurance portal navigation (Auto, Workers Comp & Commercial)
- Clearinghouse and EDI systems experience
Certification
- CERTIFIED MEDICAL BILLER AND CODER
Languages
English
Professional
Spanish
Professional
References
References available upon request.
Timeline
Accounts receivable specialist
Magruder Vision
01.2024 - Current
Medical Billing Specialist
Secured Medical Billing, LLC
01.2015 - 01.2024
Surgery Scheduling Coordinator/Department Manager
Sea Spine Orthopedic Institute
01.2013 - 01.2014
Certified Medical Billing & Coding -
Florida Career College
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