Jennifer Serrano
Los Angeles,CA
Summary
Qualified Medical Biller and Coder with 5 years of clinical experience in Workers Compensation and Orthopedic. Area of expertise is helping the healthcare facility manage insurance claims, invoices, and payments. Over 10 years of negotiation, sales planning, relationship building, and selling to customer service.
Overview
9
9
years of professional experience
Work History
Medical Billing and Coding Coordinator
Wilshire Orthopedic Associates
09.2018 - 02.2023
- Billing department Supervisor for 5yrs
- Billing for 8+ doctors
- Collections for 8+ doctors
- Traced back missing payments from 10+yrs and received 80%-100% full reimbursement
- Only myself as the billing department for an Orthopedic/Workers Comp Office.
- Delivered billing for surgeries, follow ups, post-ops, H&P, QME, medical reports, x-rays, etc.
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
- Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
- Gathered and organized materials to support operations.
- Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
- Enhanced customer satisfaction by responding promptly to inquiries and addressing concerns professionally.
- Collaborated with department heads to develop strategic plans aligning with overall company objectives, fostering a unified approach toward shared goals.
- Coordinated cross-functional teams, resulting in seamless project execution and enhanced outcomes.
- Organized and maintained project documentation, enabling quick access to important information and facilitating smoother project transitions.
- Prioritized and managed multiple projects simultaneously, ensuring all met their deadlines and objectives without compromising quality.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Kept high average of performance evaluations.
- Confirmed appointments, communicated with patients, and updated patients records.
- Answered phone promptly and directed incoming calls to correct offices.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Trained and mentored junior billers.
- Followed up with medical staff regarding missing information in patient records.
- Input data into computer programs and filing systems.
- Scanned and uploaded medical records into electronic medical records system.
- Verified accuracy of patient information in medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Maintained accuracy, completeness, and security for medical records and health information.
Sales Cashier/Manager
Fashion-Q Boutique
08.2014 - 08.2018
- Handled customer relations issues, enabling quick resolution, and client satisfaction.
- Increased sales revenue by developing and implementing effective sales strategies.
- Managed key accounts with strategic planning and relationship building, resulting in increased customer loyalty and repeat business.
- Consistently met or exceeded quarterly sales targets through diligent effort and persistence in closing deals.
- Negotiated contracts with vendors and suppliers, ensuring best pricing and terms for company profitability.
- Overcame objections from potential clients by addressing concerns effectively and offering customized solutions based on their unique needs.
- Developed comprehensive product knowledge, enabling tailored solutions for clients'' specific needs.
- Analyzed market trends to identify new business opportunities, leading to expansion into profitable territories.
- Evaluated competitor offerings to adapt sales strategies and maintain competitive advantage.
- Achieved significant cost reductions by negotiating better terms with suppliers and vendors.
- Increased sales volume and expanded product line to new retailers, warehouse clubs and natural food chains.
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Maintained balanced cash drawer, ensuring accurate accounting at end of each shift.
- Assisted customers with inquiries and provided exceptional service, resulting in positive feedback from shoppers.
- Answered questions about store policies and addressed customer concerns.
- Handled high volumes of transactions during peak hours, maintaining composure under pressure.
Education
Certification - Medical Billing And Coding
Eagle Rock College
Los Angeles, CA06.2018
Associate of Arts - Paralegal Studies
Platt College
Alhambra, CA06.2017
Skills
- Problem-Solving
- Critical Thinking
- Flexibility
- Teamwork
- Organization
- Creativity
- Attention to Detail
- Responsibility
- CPT Coding
- Excel/QuickBooks
- ICD-10
- HIPAA
- EMR Systems
- Medical Collection
- Medical Terminology
- Personal Assistant Experience
- Clerical Experience
- Time management
- Leadership
- Adaptability
- Computer skills
- Sales
- Data Entry
- Customer Service
- Work Planning and Prioritization
- Relationship Building
- Recordkeeping
- Patient Scheduling
- Multitasking
- Goals and performance
- Motivational Skills
- Verbal and written communication
- Sales expertise
- Bilingual in [Language]
- Social Media Savvy
- Sales Targeting
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Medical Billing and Coding Coordinator
Wilshire Orthopedic Associates
09.2018 - 02.2023
Sales Cashier/Manager
Fashion-Q Boutique
08.2014 - 08.2018
Certification - Medical Billing And Coding
Eagle Rock College
Associate of Arts - Paralegal Studies
Platt College
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