Jennifer Sanchez
Woonsocket,RI
Summary
Driven Medical Billing Specialist with a proven track record, adept in insurance claims processing and HIPAA compliance. Skilled in leveraging billing software to enhance reimbursement accuracy and reduce claim denials. Demonstrates exceptional problem-solving abilities and a commitment to maintaining up-to-date knowledge on medical insurance processes.
Overview
10
10
years of professional experience
Work History
Senior Medical Billing Manager
ACFS
03.2016 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Precisely evaluated and verified benefits and eligibility.
- Located errors and promptly refiled rejected claims.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Posted and adjusted payments from insurance companies.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Corrected, completed and processed claims for multiple specialties.
- Processed online and paper appeal submissions and refund requests.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Train new employees and provide support to existing employees
Medical Biller
The Dawson Group
12.2014 - 03.2017
- Accurately entered patient demographic and billing information in billing system.
- Responded to customer concerns and questions on daily basis.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Education
No Degree - Medical Billing & Coding
Community Care Alliance
Woonsocket, RI11.2017
High School Diploma -
Tri-County Regional Vocational Technical School
Franklin, MA06.1996
Skills
- Medicare and Medicaid process
- Payment posting
- Insurance Verification
- Electronic Health Record Software
- Worker's Compensation Knowledge
- MVA Knowledge
- Insurance claims processing
- ICD-10
- Medical Terminology
- Credentialing & Compliance knowledge
Timeline
Senior Medical Billing Manager
ACFS
03.2016 - Current
Medical Biller
The Dawson Group
12.2014 - 03.2017
No Degree - Medical Billing & Coding
Community Care Alliance
High School Diploma -
Tri-County Regional Vocational Technical School
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