Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Jocelyn Herrera

San Bernardino,CA

Summary

Trained and dedicated medical billing and coding specialist seeking full-time position with Internal Care Associates. Passionate about the healthcare system. Trained in ICD-10 coding, medical terminology, data management, data entry, conducting billing practices, and other administrative tasks. Familiar with various computerized coding programs and electronic health record

Overview

15
15
years of professional experience

Work History

Financial Counselor

Loma Linda Hospital – Financial Services & ED Registration
04.2019 - Current
  • Maintaining confidentiality and adhering to HIPAA regulations
  • Obtained pre-authorization for services from employers or other insurance carriers
  • Multi-lingual
  • Determine if patient is self pay, Medi-cal patient, private insurance, or Workers Compensation
  • Screened patient's ability to pay based on patient's information—Whether they qualify for Medi-cal or to set up a payment plan.
  • Check patient's insurance using RTE (EPIC)
  • Explaining insurance benefits, negotiating payment plans, and assisting with financial aid applications
  • Accurately entering patient information and financial data into hospital systems.
  • Register patient's verifying demographics, employer, insurance, and explaining LLUMC documents.
  • Check in patient
  • Managed a Work Queue and completed 30-45 registrations per day
  • Analyzed financial documents to determine eligibility for assistance programs and resources.
  • Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
  • Identified healthcare resources and programs for patients unable to meet financial obligations.

Medical Biller

San Gabriel Ambulatory Surgery Center
08.2017 - 08.2018
  • Updated claim notes as needed throughout the life cycle of a case file
  • Processed payments made by insurance companies according to established protocols
  • Gathered medical records and other documentation to support claim decisions.
  • Ensured proper coding was used when entering data into system databases.
  • Reviewed claims to ensure accuracy and compliance with state regulations.
  • Answered incoming calls from claimants, employers, and healthcare providers to provide information about workers' compensation claims
  • Handled sensitive information in accordance with company policy and HIPAA regulations
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Delivered timely and accurate charge submissions.

Medical Biller and Coder

Concentra
04.2017 - 08.2018
  • Processed medical claims accurately using advanced billing software to ensure timely reimbursements.
  • Trained junior staff on coding guidelines and billing procedures, fostering team development and knowledge sharing.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.

Medical Biller

Retina Institute of California
07.2010 - 08.2016
  • Answered incoming calls regarding billing inquiries from patients and or providers in a professional manner
  • Processed refunds requests timely and accurately according to established protocols.
  • Maintained accurate patient data in electronic health records system.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Created monthly aging reports to identify delinquent accounts for review by management team.
  • Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Submitted electronic claims to various insurance carriers.
  • Created new strategies for improving customer service standards within the organization

Education

High School Diploma -

Duarte High School
Duarte, CA

Skills

  • Insurance claims
  • Medical claims submission
  • Claims review
  • ICD-10 proficiency
  • EPIC
  • Knowledgeable in Government Insurance
  • ICD-10 coding
  • Regulatory compliance
  • Insurance verification
  • Documentation and reporting
  • Data processing

Languages

Spanish

Timeline

Financial Counselor

Loma Linda Hospital – Financial Services & ED Registration
04.2019 - Current

Medical Biller

San Gabriel Ambulatory Surgery Center
08.2017 - 08.2018

Medical Biller and Coder

Concentra
04.2017 - 08.2018

Medical Biller

Retina Institute of California
07.2010 - 08.2016

High School Diploma -

Duarte High School

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