Jessica Cantero
Austin,USA
Summary
Experienced in medical billing/ insurance verification/ collections/ AR for over 10 years working commercial, government, and workman's comp claims. Great communication skills, attention to detail and can work autonomously and a team player. Excellent attendance, and well versed in numerous computer software applications.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Sonic Healthcare
11.2023 - Current
- Focus on Medicare replacement plansA/R aged balance reports and rejections.
- Denials and correctedclaims to insure payments are processed correctly.
- Resubmit claim to providers to assist in correct coding. Review, and interpret Explanation of benefitsalong with patient medical records.
- Reprocess over 289 accounts per week
Accounts Receivable Billing Specialist
MBI Industrial Medicine
11.2022 - 10.2023
- Responsible for AR follow up on denied Workman comp claims over 55 claims per day
- Liaison between various clinics and Insurance companies
- Specialty on collecting payment on Alaska claims
Billing Coordinator
The Vision Center of West Phoenix
08.2021 - 11.2022
- Billing HCFA 1500 and posting payments and adjustments daily for medical and vision plans forgovernment and commercial insurance on payments up to $17,000.00 on a single check.
- Patient AR billing, collections, payment arrangements, and posting payments.
- Download/uploading EOB's & EFT payments via multiple web portals.
- Patient recall, scheduling and prior authorization
Insurance A/R Specialist
American Vision Partners
12.2020 - 08.2021
- Special programs including workman's comp, employee accounts and grant funding.
- Billing HCFA 1500 and invoices
- Payment follow up
- Adjustments
- Aging and High dollar reports
- Create and maintain processes for payment processing and collections
Billing Specialist
Hope Community Services Inc
05.2020 - 12.2020
- Responsible for batching and billing 837 files and downloading 277 files for six different insurance plans.
- Processing and reprocessing of claims manually through PSIS for specific patients and dates of service.
- AHCCCS verification and chart maintenance of over 160 patients weekly.
- Insurance follow-up A/R for all claims rejected, denied, or underpaid.
- Training staff on billing processes as well as collection A/R denials and resolutions.
Billing Specialist
The Crossroads Inc.
12.2019 - 05.2020
- Verification of insurance and maintenance of patient accounts for billing and prior auth
- Primary focus on rebilling claims and common denials for previous incorrect billing
- Responsible for A/R clean up projects regarding prior authorization
Insurance Follow Up Representative II
Tucson Endocrine Associates
01.2017 - 04.2019
- Insurance and patient balance collector for commercial AHCCCS plans including workman's compclaims.
- Posting insurance payments $10,000 and under for multiple accounts on EOB's.
- Provide payments and receipts for all patient transactions in office and by correspondence.
Insurance Follow Up Representative
Acclivity HealthCare
02.2010 - 02.2014
- Special project working Blue Cross Blue Shield A/R claims over 180 days with a balance of $4000.00or higher accounts.
- Contact insurance for payment details on claims not processed within 120 days of filing.
- Confirm correct processing of multiple Hospital facilities for commercial plans.
Pharmacy Technician in Training
Convergys
03.2009 - 02.2010
- Inbound calls for Pharmacy refills
- Customer profile maintenance using HIPPA gudelines
- Drug interaction consultation
- Insurance verification if coverage for medication.
Patient Account Specialist
Catalina Ear Nose and Throat & Skin Institute
05.2007 - 03.2009
- Collect and post payment payments including past due and current copays and refunds.
- Create payment arrangements for pre-surgical procedures not covered by insurance.
- Verify eligibility and obtain prior authorizations for inpatient surgery.
Education
Associate of Arts - Medical Office Management
Carrington College
Tucson, AZAssociate of Arts - Medical Billing and Coding
Carrington College
Tucson, AZBachelor's degree - Business Management
University of Phoenix
Skills
- Medical Records
- Insurance Verification
- Medical Billing
- Medical Collection
- Medical Office Experience
- HIPAA
- CPT Coding
- Medical Terminology
- Medical Scheduling
- ICD-10
- Medical Office Management
- ICD-9
- Anatomy Knowledge
- Microsoft Excel
- Accounts receivable
- Proactive and Self-motivated
- Precision and accuracy
- Aging reports analysis
- Accurate payment posting
- Cross-functional team collaboration
- Billing dispute resolution
- Critical thinking
- Attention to detail
Certification
- Driver's License May 2022 to October 2038 Actual expiration date is 2040, but not available to select in AP. I currently drive for Favor
- Driver's License May 2022 to October 2038 Actually expires on 10/18/2040 but not an option in the AP. I currently drive for Favor and have driven for Point Pick-Up
Languages
Spanish
Native or Bilingual
Timeline
Accounts Receivable Specialist
Sonic Healthcare
11.2023 - Current
Accounts Receivable Billing Specialist
MBI Industrial Medicine
11.2022 - 10.2023
Billing Coordinator
The Vision Center of West Phoenix
08.2021 - 11.2022
Insurance A/R Specialist
American Vision Partners
12.2020 - 08.2021
Billing Specialist
Hope Community Services Inc
05.2020 - 12.2020
Billing Specialist
The Crossroads Inc.
12.2019 - 05.2020
Insurance Follow Up Representative II
Tucson Endocrine Associates
01.2017 - 04.2019
Insurance Follow Up Representative
Acclivity HealthCare
02.2010 - 02.2014
Pharmacy Technician in Training
Convergys
03.2009 - 02.2010
Patient Account Specialist
Catalina Ear Nose and Throat & Skin Institute
05.2007 - 03.2009
Associate of Arts - Medical Office Management
Carrington College
Associate of Arts - Medical Billing and Coding
Carrington College
Bachelor's degree - Business Management
University of Phoenix