Jessica Lopez
Austin,TX
Summary
Accurate professional performs all aspects of medical billing, including coding, charge entry, transmission, correction, and resubmission. Brings several years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Lead Medical Billing Specialist
BALCONES PAIN CONSULTANTS
Austin, TX
04.2019 - Current
- Input data for Medical claims as well as all secondary claims, Follow up with claims until paid in full
- Maintenance of aging and initiation of collection letters for aged accounts
- Review EOB's, HCPCS, & ICD codes, HCFAs, and authorizations/referrals for identifying issues to obtain account resolution
- Demonstrate efficient methods for determining if claim has been received by the insurance company, if the claim has paid according to contract and if any contractual adjustments are required
- Responsible to work daily Failed & Rejected Claims in Payer Path
- Document accounts thoroughly and appropriately with all information concerning how information was obtained to work the account and explain why actions taken are appropriate
- Review accounts receivable balances and use tools available to obtain payment to resolve open balances from insurance carriers and patients
- Responsible for daily reconciliation of collections, communicating with patients, collection agencies and payers, and working assigned task/hold-buckets
Billing A/R Specialist
CHILDREN'S UROLOGY
Austin, TX
04.2018 - 04.2019
- Company Overview: (Temporary)
- Posted medical procedures/CPT codes with corresponding charges according to daily office visits and also attached proper ICD-10 codes to coincide with each patient visit and procedure
- Post Daily Patient, Private Ins and Medicare/ Medicaid Charges
- Post Daily Patient, Private Ins and Medicare/ Medicaid Payment
- Insurance Verification
- Review accounts receivable balances and use tools available to obtain payment to resolve open balances from insurance carriers and patients
- Working daily aging reports
- Close Daily Deposits/ Reports
- Sending Primary, and Secondary Claims out daily in Athena
- Collections (Patient/Insurance
- Generating Patient Balance Statements
- (Temporary)
Billing and Insurance Spec
FAMILY MEDICINE PRACTICE
Austin, TX
12.2011 - 04.2018
- Daily Deposits/ Reports
- Insurance Verification
- Post Daily Patient, Private Ins and Medicare/ Medicaid Charges
- Post Daily Patient, Private Ins and Medicare/ Medicaid Payments
- Denials, Appeals
- Collections (Patient/Insurance)
- Generating Patient Balance Statements
- Sending Primary, Secondary Claims
- Credentialing Insurances
Medical Billing Extern
SPINE AUSTIN
Austin, TX
01.2011 - 12.2011
- Calculate charges, develop bills /patient collections as necessary
- File insurance and medical claims / verify insurance eligibility
- Collect and update patients data in system
Medical Billing Extern
HEALTHCARE REIMBURSEMENT SERVICES
Austin, TX
01.2011 - 12.2011
- Reconcile outstanding balances and incidents of claims from Medicare/ Medicaid
- Handle Patients cases and accounts throughout the entire revenue cycle
- Accurately enter Patients demographics charges, and payments
Insurance Specialist/ Ophthalmologist Tech
ARBORETUM EYE PROFESSIONALS
Austin, TX
02.2009 - 11.2011
- Enter Patients demographics in the EMR
- File insurance and medical claims / verify insurance eligibility
- Order contacts/ dispense and sort
- Teach new contact lenses wearer
- Check patients in/ out
- Responsible for patient Pre-testing such as visual acuity, depth perception, pupil reflexes, visual field testing, Auto Refractor, Specular microscope
Education
Medical Billing and Coding Diploma -
Virginia College at Austin
Austin, TX01.2011
High School Diploma -
Anderson High School
01.2007
Skills
- Proficient in use of Windows, MS Word, Excel, Outlook
- Excellent Customer Service
- Multitasking
- Medisoft Billing Software
- Kareo Billing Software
- Cyclops EMR/ Office Mate
- Advanced MD Software
- Charge Posting
- HIPAA
- OSHA
- Allscripts PM Software
- Problem solving
- Reimbursement
- Accounts Receivable / Accounts Payables
- Athena Software
- Credentialing
- Claims review
- Insurance collections
- Insurance claims
- Electronic health record software
- ICD-10 coding
- Billing and collection procedures
- Medical billing
- Payment posting
- Denial management
- Insurance verification
- Patient billing
References
- Eliseo Reyes, Manager, 512-657-7380
- Rebecca Perez, Supervisor, 512-577-3505
- Bianca Canamar, Friend, 512-508-0665
Certification
- Certified Medical Billing and Coding Diploma
Timeline
Lead Medical Billing Specialist
BALCONES PAIN CONSULTANTS
04.2019 - Current
Billing A/R Specialist
CHILDREN'S UROLOGY
04.2018 - 04.2019
Billing and Insurance Spec
FAMILY MEDICINE PRACTICE
12.2011 - 04.2018
Medical Billing Extern
SPINE AUSTIN
01.2011 - 12.2011
Medical Billing Extern
HEALTHCARE REIMBURSEMENT SERVICES
01.2011 - 12.2011
Insurance Specialist/ Ophthalmologist Tech
ARBORETUM EYE PROFESSIONALS
02.2009 - 11.2011
Medical Billing and Coding Diploma -
Virginia College at Austin
High School Diploma -
Anderson High School