Jessica Perez
Inglewood,CA
Summary
Detail-oriented Medical Biller with 8 years of experience. Well-versed in using Office Ally, ClinicSource, Raintree, Availity and learning new skills with ease and efficiency. Dedicated to exceeding goals and maintaining positive attitude. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
13
13
years of professional experience
Work History
Medical Billing Supervisor
NAPA Center Inc
10.2017 - 05.2024
- Analyzed medical records to satisfy insurance company mandates.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
- Enhanced accuracy of claims submissions through thorough reviews and staff training.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
- Developed strong relationships with insurance representatives, facilitating smoother negotiations when resolving disputes over claims payments.
- Assisted patients by determining financial assistance available and setting up payment plans.
- Collected payments and applied to patient accounts.
- Verified insurance of patients to determine eligibility.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Medical Billing Specialist
NAPA Center Inc.
01.2016 - 10.2017
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Verified insurance of patients to determine eligibility.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Utilized various software programs to process customer payments.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
Biller
Azalie Medical Billing
03.2015
- Verify eligibility, resubmit denials of claims, patient information input into system
Clerical Support
Centinela Hospital Medical Center
07.2015 - 01.2016
- Charity program application process, verify eligibility, input insurance information, and call patients
Receptionist/Bookkeeper
Buy Low Market #1
10.2011 - 04.2013
- Promptly answer phones/transfer calls, prepared money orders, prepared deposits to be delivered to bank, maintained a record of all transactions on spreadsheets, customer service
Education
Medical Billing/Coding Diploma -
American Career College
Los Angeles, CA03.2015
H.S. Diploma -
Morningside High School
Inglewood, CA01.2011
Skills
- Billing
- Data entry proficiency
- Regulatory Compliance
- Invoice Processing
- Payment tracking
- Dispute Resolution
- Invoice reconciliation
- Payment posting
- Research and due diligence
- HIPAA Compliance
- Billing systems and software
- Customer Engagement
- Insurance Verification
- Collections
Languages
Spanish
Native or Bilingual
Timeline
Medical Billing Supervisor
NAPA Center Inc
10.2017 - 05.2024
Medical Billing Specialist
NAPA Center Inc.
01.2016 - 10.2017
Clerical Support
Centinela Hospital Medical Center
07.2015 - 01.2016
Biller
Azalie Medical Billing
03.2015
Receptionist/Bookkeeper
Buy Low Market #1
10.2011 - 04.2013
Medical Billing/Coding Diploma -
American Career College
H.S. Diploma -
Morningside High School
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