Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
20
20
years of professional experience
Work History
Billing Specialist
The Eye Experts
Brownsville, TX
05.2021 - Current
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Precisely evaluated and verified benefits and eligibility.
Posted payments and collections on regular basis.
Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
Administrative Assistant
NVS Corporate Services
Brownsville, TX
09.2013 - 05.2021
Processed invoices and expenses using QuickBooks to facilitate on-time payment.
Prepared and sent electronic invoices to customers, processed payments and documented account updates.
Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
Executed record filing system to improve document organization and management.
Coached new employees on administrative procedures, company policies and performance standards.
Medical Receptionist
Hope Counseling Services
Brownsville, TX
04.2010 - 06.2013
Managed multi-line phone system and pleasantly greeted patients.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Collected payments and applied to patient accounts.
Checked patient insurance, demographic and health history to keep information current.
Prepared billing statements for patients and verified correct diagnostic coding.
Adhered to strict HIPAA guidelines to protect patient privacy.
Childcare Worker
Kids Palace Daycare
Brownsville, TX
02.2006 - 04.2010
Enforced rules and managed behavior through developmentally appropriate discipline.
Led children in creative, athletic and educational activities while maintaining safe and orderly group.
Introduced children to educational games and activities to boost learning.
Developed lessons and activities to promote children's physical and emotional development.
Childcare Worker
Little Care Bears Nursery School
Brownsville, TX
05.2002 - 02.2006
Assisted with activities to support curriculum objectives.
Enforced rules and managed behavior through developmentally appropriate discipline.
Maintained effective schedule balance between rest periods, active play and instruction.
Applied positive behavior management techniques to enhance social interactions and emotional development.
Education
Medical Billing and Coding Specialist Program -
Southern Careers Institute
04.2010
High School Diploma -
I.R.R.A. Inc. ISD
Brownsville, TX
04.2006
Skills
Great verbal and written communication skills
Have knowledge with most peripheral devices
Able to process and record payments accordingly
Have knowledge with personal computers and word processing software such as Microsoft Word, Microsoft Excel, Outlook etc
Experienced with Medicaid/Medicare, Managed Care, HMO Insurances, commercial and private insurances
Skilled in communicating with insurances to verify patient eligibility, annual deductibles
Understand policies, guidelines and timeframes for creating and sending clear professional claims
Experienced in following up with claim denials, appeals, and their policy guidelines
Adherent to HIPPA Regulations and
Bilingual
Type 65wpm
Timeline
Billing Specialist
The Eye Experts
05.2021 - Current
Administrative Assistant
NVS Corporate Services
09.2013 - 05.2021
Medical Receptionist
Hope Counseling Services
04.2010 - 06.2013
Childcare Worker
Kids Palace Daycare
02.2006 - 04.2010
Childcare Worker
Little Care Bears Nursery School
05.2002 - 02.2006
Medical Billing and Coding Specialist Program -
Southern Careers Institute
High School Diploma -
I.R.R.A. Inc. ISD
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