Juliann Chaparro
Wesley Chapel,FL
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Revenue Cycle Operations Analyst II
Akasa
09.2021 - 01.2024
- Follow-up to advance patient accounts on behalf of hospital clients
- Utilize data labeling of payer portals, EHR data, and payer responses to train AI model
- Improved revenue cycle for healthcare organizations by utilizing machine learning and AI-powered automation to improve operations, drive revenue, create efficiencies, and enhance patient experience.
Medical Biller/Coder
Horizon Family Medical Group
06.2020 - 09.2021
- Responsible for securing payment for services rendered by the Practice
- Maintaining financial records pertaining to payments and patient accounts.
- Determining and Selecting the correct CPT/HCPCS codes for specialty GYN E/M's, procedures/surgeries.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Enhanced revenue collection by accurately coding and submitting medical claims.
- Reduced claim denials by meticulously reviewing patient records for proper documentation.
Medical Coder I
Crystal Run Healthcare
04.2019 - 06.2020
- Reading and analyzing patient records
- Determining and selecting the correct CPT codes for E/M visits, Podiatry office procedures, Skilled Nursing, Dermatology & Cardiology
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Maintaining patient confidentiality and information security.
A/R Follow Up Analyst
Crystal Run Healthcare
05.2017 - 05.2019
- Worked with payers to resolve issues to facilitate prompt payment
- Claims submission
- Resolution of insurance processing errors and denials including Medicare, Medicaid, Blue Cross and commercial health insurance carriers.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
Authorizations Associate
Crystal Run Healthcare
02.2016 - 05.2017
- Responsible for obtaining pre-certifications
- Confirm insurance eligibility and coverage conditions on patient insurance when indicated.
- Streamlined authorization processes by implementing efficient procedures and documentation.
- Enhanced customer satisfaction with quick response times and accurate information for authorization requests.
- Collaborated with team members to complete high volumes of authorization cases in a timely manner.
Medical Biller
Dermatology Associates
09.2012 - 02.2016
- Using coded data to produce and submit claims to insurance companies
- Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
- Reviewing and appealing unpaid and denied claims
- Answering patients' billing questions.
Education
Certified Professional Coder -
AAPC
No Degree - Healthcare Business
Finger Lakes Community College
Canandaigua, NY01.2025
High school diploma -
Middletown High School
06.2009
Skills
- Accounts Receivable
- Medical Billing & Coding
- ICD - 9 & ICD -10
- Medical Terminology
- EMR/EHR Systems (Medent Computer system, NextGen , Phreesia, Epic, Advance Data Systems (ADS), & EClinicalWorks EMR system)
- Typing
- Answering Phones
- Microsoft Office
- Medical Records
- Documentation review
- Physiology & Anatomy knowledge
- Trend Modeling
- Process Updates
- Reporting Abilities
Certification
Medical Coding Certification
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Revenue Cycle Operations Analyst II
Akasa
09.2021 - 01.2024
Medical Biller/Coder
Horizon Family Medical Group
06.2020 - 09.2021
Medical Coder I
Crystal Run Healthcare
04.2019 - 06.2020
A/R Follow Up Analyst
Crystal Run Healthcare
05.2017 - 05.2019
Authorizations Associate
Crystal Run Healthcare
02.2016 - 05.2017
Medical Biller
Dermatology Associates
09.2012 - 02.2016
Certified Professional Coder -
AAPC
No Degree - Healthcare Business
Finger Lakes Community College
High school diploma -
Middletown High School
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