Summary
Overview
Work History
Education
Skills
Timeline
Generic

JIMENA VASQUEZ

Miami,FL

Summary

Detail-oriented Medical Biller with extensive expertise in insurance claims, customer service, and billing processes. Proficient in electronic claims submission and CMS-1500 billing forms, demonstrating a proven ability to resolve discrepancies while facilitating clear communication with patients and insurance carriers. Committed to leveraging skills in a dynamic medical billing role to enhance operational efficiency and contribute to the financial success of healthcare organizations. A strong focus on accuracy and compliance ensures optimal outcomes in all billing-related tasks.

Overview

6
6
years of professional experience

Work History

Payment Poster

Keralty Hospital
05.2025 - Current
  • Processed and reconciled payments across multiple platforms to ensure accuracy and compliance.
  • Managed payment posting workflows, improving operational efficiency through streamlined procedures.
  • Conducted audits of posted payments, identifying discrepancies and implementing corrective actions.
  • Developed standardized procedures for payment entry, resulting in improved data accuracy and reduced errors.
  • Processed payments that had been received from insurance companies and Medicare.
  • Consistently maintained high levels of productivity, exceeding departmental goals each month.
  • Identified overpayments and processed refunds for insurance carriers and patients.

Medical Biller and Billing Customer Service

Keralty Hospital
07.2023 - Current
  • Verified accuracy of patient information, including demographic data and insurance coverage details.
  • Assisted with answering telephone to provide requested billing information.
  • Reviewed and evaluated unpaid claims to determine cause of delay or denial, taking appropriate action as needed.
  • Entered all relevant patient information into the practice management software system accurately and efficiently.
  • Processed medical bills and insurance claims accurately, ensuring compliance with HIPAA regulations.
  • Assisted patients with understanding their financial responsibility for services rendered by providing detailed explanation of benefits and coverage options available to them.
  • Followed up on accounts until zero balance or turned over for collection.
  • Resolved patient billing issues and communicated with insurance carriers.
  • Resolved discrepancies in accounting records.
  • Operated typing, adding, calculating, and billing machines.

Customer Service Representative

Target
04.2019 - 05.2023
  • Handled customer complaints and inquiries in a courteous and efficient manner.
  • Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
  • Developed strong customer relationships and loyalty through effective communication.
  • Responded to telephone inquiries and complaints following standard operating procedures.
  • Assisted with training and mentoring new team members.
  • Performed data entry tasks accurately and in a timely manner.
  • Handled escalated calls professionally by listening carefully to the needs of each individual customer before offering appropriate solutions.

Education

Certification - Medical Billing and Coding

Florida Technical College
Miami
10.2023

Skills

  • Insurance claims
  • Claim submission
  • Customer service
  • Payment poster
  • Electronic claims
  • Insurance billing
  • Insurance verification
  • Balance reconciliation

Timeline

Payment Poster

Keralty Hospital
05.2025 - Current

Medical Biller and Billing Customer Service

Keralty Hospital
07.2023 - Current

Customer Service Representative

Target
04.2019 - 05.2023

Certification - Medical Billing and Coding

Florida Technical College

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