Jesus Manuel Pizana
El Paso,TX
Summary
Highly skilled Billing Coding Specialist with comprehensive background in medical billing and coding. Possess strong analytical skills, adept at interpreting and applying insurance guidelines to ensure accurate claim submission. Demonstrated ability to streamline processes for improved efficiency and accuracy. Notable impact includes effectively minimizing errors, reducing denials, and ensuring patient satisfaction in previous roles.
Highly skilled in medical billing and coding with comprehensive experience handling insurance claims, patient invoices, and payment processing. Strong knowledge of medical terminology, International Classification of Disease (ICD), Current Procedural Terminology (CPT), and Health Insurance Portability Accountability Act (HIPAA). Demonstrated ability to improve efficiency in billing systems and reduce denials. Made significant contributions to revenue recovery at previous workplaces by ensuring accurate and timely billing.
Overview
11
11
years of professional experience
Work History
Medical Billing and Coding
Accutrack Services
El Paso , TX
12.2013 - 12.2024
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Developed an understanding of Medicare and Medicaid rules and regulations as they apply to medical billing procedures.
- Analyzed patient records, insurance information, and medical coding data to ensure proper reimbursement from insurance companies.
- Reviewed medical records and claims to identify discrepancies in coding and billing.
- Maintained up-to-date knowledge of relevant medical terminology and coding systems used in healthcare settings.
- Identified and corrected errors related to billing, coding, and reimbursement from insurance companies.
- Worked closely with billing department to ensure accurate coding of diagnoses and procedures on claims.
- Maintained an organized filing system for all documents related to medical billings and collections.
- Researched medical coding procedures in order to accurately enter billing information into the system.
- Worked closely with other departments such as billing, coding and clinical staff to ensure accuracy in documentation.
- Reviewed medical claims for accuracy and completeness, verifying patient eligibility and coding.
- Resolved customer inquiries related to medical insurance plans, including eligibility, billing, and claims processing.
- Assisted with medical billing processes such as coding and entering charges into the system.
- Utilized medical coding knowledge to accurately process and document authorization requests.
- Entered data into electronic medical record system accurately and timely using ICD-10 coding standards when applicable.
- Reviewed medical records for accuracy and completeness prior to billing.
Education
Medical Billing And Coding Diploma - Medical Billing And Coding
Vista College
El Paso, TX09-2013
High School Diploma -
Bowie High School
El Paso, TX05-1980
Skills
- Medical billing and coding
- CPT and HCPCS coding
- Medical billing experience
- CPT Coding Understanding
- Medical coding software proficiency (ECW Billing Program)
- Medicare and medicaid billing
- Understands medical procedures
- Insurance verification and billing
- Billing understanding
- Understanding medical terminology
- Medical billing procedures
- Medical insurance billing
- Medical appeals handling
- Billing and reimbursement
- ICD-10 Coding Understanding
- Insurance and billing understanding
- Billing and payments
References
References available upon request.
Timeline
Medical Billing and Coding
Accutrack Services
12.2013 - 12.2024
Medical Billing And Coding Diploma - Medical Billing And Coding
Vista College
High School Diploma -
Bowie High School
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