JENNIFER M GAZTAMBIDE VAZQUEZ
Tampa,FL
Summary
Belong to a dynamic and prestigious company where I was given the opportunity to grow professionally, contribute my knowledge and skills with professionalism giving the maximum.
Overview
14
14
years of professional experience
Work History
Billing and Coding
PRADO VISION & SIGHT 360
TAMPA, FL
02.2022 - Current
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Provided customer service support to patients regarding billing inquiries.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Prepared financial statements that summarize account activity over a period of time.
- Filed and submitted insurance claims.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
Medical Billing and Collections Specialist
DR. CARLOS R. NEGRON OLMO
SAN JUAN, PR
05.2012 - Current
- Reviewed and verified benefits and eligibility with speed and precision.
- Calling health insurance
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
- Corrected, completed and processed claims for payer codes.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Applied HIPAA privacy and security regulations while handling patient information.
- Posted charges, payments and adjustments.
- Filed and submitted insurance claims.
- Completed and submitted appeals for denied claims.
- Posted and adjusted payments from insurance companies.
- Completed appeals and filed and submitted claims.
- Verified proper coding, sequencing of diagnoses and procedures.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
Housekeeper
La Quinta Inn & Suites Tampa North I-75
Tampa, FL
01.2016 - 12.2017
- Supervisor
- Clean room
Medical Billing and Collections Specialist
LAB. CLINICO TRUJILLO ALTO
TRUJILLO ALTO, PR
06.2011 - 11.2015
- billing and coding
- Attending the patient in the counter
- Verify eligibility
- Answering phone
- Apply payment
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Posted charges, payments and adjustments.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Completed appeals and filed and submitted claims.
- Posted and adjusted payments from insurance companies.
- Reviewed and verified benefits and eligibility with speed and precision.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Applied payments, adjustments and denials into medical manager system.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
Education
High School Diploma -
Dr. Jose M Lazarro
San Juan PR05.2001
CERTIFICATE - MEDICAL BILLING AND WORD PROCESSING
INST DE BANCA I COMERCIO
San Juan PR2007
CERTIFICATE - ICD 10
ASOCIACION DE FACTURACION MEDICA DE PR
2014
Skills
BILLING PROGRAM
- ADVANCE MD
- NEXTECH
- EYEMED
- VSP
- AVILITY
- PREMIER EYE CARE
- ICARE
- UNITED HEALTH CARE
- TECKPRO, INMEDIATA, MED ONE
- BASIC COMPUTER SKILLS
- BILLING AND CODING
- CHECK ELEGIBILITY
- CALLING HEALTH INSURENCE
- PAYMENT POSTING
- CLAIM TO THE HEALTH INSURANCE
- LANGUAGE: BASIC ENGLISH, SPANISH
Timeline
Billing and Coding
PRADO VISION & SIGHT 360
02.2022 - Current
Housekeeper
La Quinta Inn & Suites Tampa North I-75
01.2016 - 12.2017
Medical Billing and Collections Specialist
DR. CARLOS R. NEGRON OLMO
05.2012 - Current
Medical Billing and Collections Specialist
LAB. CLINICO TRUJILLO ALTO
06.2011 - 11.2015
High School Diploma -
Dr. Jose M Lazarro
CERTIFICATE - MEDICAL BILLING AND WORD PROCESSING
INST DE BANCA I COMERCIO
CERTIFICATE - ICD 10
ASOCIACION DE FACTURACION MEDICA DE PR
Similar Profiles
Tashawn WilliamsTashawn Williams
Insurance Verification Specialist at Sight 360Insurance Verification Specialist at Sight 360
Anamaria SicaruAnamaria Sicaru
Senior Shop Manager at Vision Foundation/Fight for SightSenior Shop Manager at Vision Foundation/Fight for Sight
Lisa NikkelLisa Nikkel
Optometric Assistant at For Sight Vision CentreOptometric Assistant at For Sight Vision Centre
Tanner LietzTanner Lietz
Customer Service Cashier at Publix Grocery StoreCustomer Service Cashier at Publix Grocery Store
Claudia HernandezClaudia Hernandez
Business Development Representative at PsychPlusBusiness Development Representative at PsychPlus