Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
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Juanita Magdaleno

Rialto,CA

Summary

Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.

Overview

4
4
years of professional experience

Work History

Medical Receptionist/Verification Specialist

Premier Outpatient Surgery Center
San Bernardino, CA
09.2022 - Current
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Routed laboratory or diagnostic results to appropriate staff.
  • Checked patients in and out for appointments and collected co-payments.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Assisted with filing of medical records and documents, maintaining accurate electronic files.
  • Verified insurance coverage for appointments and collected co-payments as required.
  • Entered insurance, demographics and health history into patient database.

Medical Biller

San Bernardino Gastroenterology Associates
Rialto, CA
03.2022 - 09.2022
  • Communicated with insurance representatives to complete claims processing or resolve problem claims, and contacted carriers to verify consistency with contract rates.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Submitted claims to insurance companies.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.

Medical Biller

Foundation Laboratory
Pomona, CA
11.2020 - 03.2022
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Submitted electronic claims to various insurance carriers.
  • Maintained accurate patient data in electronic health records system.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Submitted appeals using provider portals and phone communication.

Education

Certified Medical Billing - Medical Billing

UEI
Riverside
07-2019

Medical Assisting - Medical

NorthWest College
Pasadena, CA
08-1996

Skills

  • Billing support
  • Insurance verification
  • Typing 53 wpm
  • Payment collection
  • Typing and filing
  • Insurance verifications
  • Referral verification
  • Front desk operations
  • Telephone etiquette
  • HIPAA compliance
  • Paperwork coordination

Languages

Spanish
Professional

References

References available upon request.

Timeline

Medical Receptionist/Verification Specialist

Premier Outpatient Surgery Center
09.2022 - Current

Medical Biller

San Bernardino Gastroenterology Associates
03.2022 - 09.2022

Medical Biller

Foundation Laboratory
11.2020 - 03.2022

Certified Medical Billing - Medical Billing

UEI

Medical Assisting - Medical

NorthWest College
Juanita Magdaleno