Jessica Moreno
Westminster,Ca
Summary
Medical billing professional with extensive experience in healthcare revenue cycle management and team leadership. Known for optimizing billing operations and implementing process improvements. Collaborative and results-oriented, consistently adaptable to evolving needs and challenges. Proficient in medical coding, billing software, and regulatory compliance.
Overview
12
12
years of professional experience
Work History
Medical Billing Lead
Shohet Ear Associates
Newport Beach, CA
01.2024 - Current
- Coordinated the processing of medical claims, ensuring accuracy and compliance with industry regulations.
- Managed patient accounts by resolving billing inquiries, contributing to improved customer satisfaction and retention rates.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected payments and applied to patient accounts.
Customer Service Support
Western Growers Assurance Trust
Irvine, CA
10.2016 - 01.2024
- Research and validate payments not cleared by banks per internal and external requests to have payment voided and reissued.
- Assist Finance and Treasury in reconciling overpayments, stale and returned checks.
- Analyze and load facility and professional claims into system and route to examiners for adjustment or processing.
- Develop and maintain department protocols and procedures for training and team members.
Sr. Customer Service Representative
CalOptima
07.2014 - 09.2016
- Assist members and providers with questions related to Medi-Cal programs by providing eligibility, claims, authorizations, enrollment, pharmacy and benefits.
- Serve as a resource for team members by handling escalated issues via phone, email and in person.
- Support Program Coordinator by training new employees on policy and procedures, documentation and questions.
- Act as a liaison between member and providers to coordinate care, process appeals and obtain prior authorization approvals.
Education
High School Diploma - undefined
Loara High School
Anaheim01.2009
Skills
ICD-10 knowledge
Accounts receivable management
CPT coding
Payment posting
Patient billing procedures
Denial management expertise
Excellent communication
Organizational skills
Decision-making
Cash handling
Organizational growth
Claim submission
Insurance verification
Patient billing
CPT knowledge
Denial management
Medicare and medicaid process
Collections management
Languages
Spanish
Native or Bilingual
Timeline
Medical Billing Lead
Shohet Ear Associates
01.2024 - Current
Customer Service Support
Western Growers Assurance Trust
10.2016 - 01.2024
Sr. Customer Service Representative
CalOptima
07.2014 - 09.2016
High School Diploma - undefined
Loara High School