Jessica Lozano
San Antonio
Summary
Medical billing professional with extensive experience in managing patient billing processes and ensuring timely claim submissions. Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of coding standards and insurance guidelines, coupled with client-focused approach.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Community Care Partners/Texas Medclinic
11.2022 - Current
- Reviewed and verified insurance claims to ensure accuracy and compliance with regulations.
- Processed medical billing transactions using advanced healthcare software systems.
- Collaborated with healthcare providers to resolve billing discrepancies and enhance patient satisfaction.
- Posted and adjusted payments from insurance companies.
- Maintained up-to-date knowledge of coding updates and changes in reimbursement policies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assist coding team with PTP, DME & modifier workgroups
- Verify and bill commercial, Medicare/Medicaid & Military insurance
Billing Clerk
Texas MedClinic
San Antonio, TX
07.2021 - 11.2022
- I answer a high volume of calls. I assist with patient's who need understanding of their bill/EOB. Make sure insurance paid at the contracted rate. I take electronic payments. I also work edit/error claims, verify insurance and submit claims to insurance companies. I assist in sending out refund checks. Researched addresses on returned refund checks.
- Small insurance balance adjustments (AR). Send out courtesy letters. Courtesy calls on open balances.
- Maintained organized records of transactions, enhancing retrieval and audit processes.
- Implemented streamlined billing procedures, improving overall operational efficiency.
Billing clerk
Business and professional service
San Antonio, TX
04.2019 - 07.2021
- Insurance follow up, Filed claims (commercial, medicare & medicaid and billed secondary claims ), Sent billing statements for attorneys, answered a high volume of calls, credit card payments & ACH payments. Fax no reduction letter to attorney's. Sent appeals on denied claims.
- Processed invoices and billing statements accurately to ensure timely payments.
- Reconciled customer accounts, identifying discrepancies and resolving issues efficiently.
Medical Insurance Specialist
South Texas Radiology
San Antonio, TX
07.2018 - 08.2018
- Called Blue Cross/Blue Shield to check on status of appeals.
- Coded notes and updated with date and charge number.
- Managed payment plans and adjustments.
- Processed insurance claims efficiently, ensuring compliance with industry regulations and payer guidelines.
- Reviewed patient medical records to verify coverage eligibility and accuracy of submitted claims.
Cashier
Dollar General
San Antonio, TX
12.2015 - 04.2016
- Greeted customers & mention new sales.
- Managed all financial transactions.
- Stocked candy and snacks for customers.
- Maintained a clean work area.
Home Health Aide
La Estrella Home Health Care
San Antonio, TX
06.2013 - 08.2014
- Assisted in medicine administration.
- Cleaned and cooked for client.
- Drove patient to/from doctor.
- Spent some quality time with client.
Customer Service Representative
Transcom Worldwide
San Antonio, TX
10.2010 - 04.2011
- Answered calls in a fast-paced environment.
- Handled credit card payments.
- Troubleshoot internet issues.
Education
Diploma - Medical Billing and Coding Program in Medical
Southern Careers Institute
San Antonio, TX09-2018
High school diploma or GED - High School Diploma
San Antonio Leadership
05-2016
Skills
- Fast typing skills
- 35 WPM
- Knowledgeable in medical terminology
- Medical claims processing
- Accurate insurance coverage assessment
- Medical coverage knowledge
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- Medicare and medicaid process
- Denial management
- Teamwork and collaboration
Certification
Drivers License
Languages
English
Full Professional
Timeline
Medical Billing Specialist
Community Care Partners/Texas Medclinic
11.2022 - Current
Billing Clerk
Texas MedClinic
07.2021 - 11.2022
Billing clerk
Business and professional service
04.2019 - 07.2021
Medical Insurance Specialist
South Texas Radiology
07.2018 - 08.2018
Cashier
Dollar General
12.2015 - 04.2016
Home Health Aide
La Estrella Home Health Care
06.2013 - 08.2014
Customer Service Representative
Transcom Worldwide
10.2010 - 04.2011
High school diploma or GED - High School Diploma
San Antonio Leadership
Diploma - Medical Billing and Coding Program in Medical
Southern Careers Institute
Additional Information
- SKILLS
- CPT
- ICD-10
- CMS 1500
- NextGen
- Medical Terminology
- Insurance Verification
- Microsoft Word
- Microsoft Excel
- Typing Speed 35 WPM
- Patient Referrals