Jennifer Pedraza
Las Vegas
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
5
5
years of professional experience
Work History
Medical Biller
Human Behavioral Institute
03.2022 - Current
- Processed and submitted medical claims to insurance companies, ensuring accurate coding and documentation.
- Maintained patient records and billing information, adhering to HIPAA regulations for confidentiality and accuracy.
- Monitored accounts receivable reports to identify trends and implement corrective actions for delayed payments.
- Maintained accurate records of customer payments.
- Responded to customer concerns and questions on daily basis.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Medical Biller
Neurology Center of Las Vegas
10.2020 - 02.2022
- Verified patient insurance eligibility and benefits to minimize claim denials.
- Processed medical claims using electronic billing systems to ensure timely reimbursements.
- Maintained accurate records of patient accounts, ensuring compliance with healthcare regulations.
- Conducted regular audits of billing practices to identify areas for improvement and ensure accuracy.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Education
Certificate - Medical Billing And Coding
Northwest Career College
Las Vegas, Nevada, NV10-2020
Skills
- Medical billing
- Insurance billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- Billing and collection procedures
- Claim submission
Timeline
Medical Biller
Human Behavioral Institute
03.2022 - Current
Medical Biller
Neurology Center of Las Vegas
10.2020 - 02.2022
Certificate - Medical Billing And Coding
Northwest Career College