Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 12 plus years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
12
12
years of professional experience
1
1
Language
Work History
Medical Biller
Change HealthCare through Randstadt Staffing
03.2022 - 05.2024
Generated reports in order to track payments due from insurance companies or other third party payers.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Compiled and processed data for billing purposes utilizing billing software programs.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
Submitted electronic claims to various insurance carriers.
Medical Biller
Advanced Medical Hearing
Fort Wayne, IN
01.2021 - 10.2021
Created receiving reports and updated vendor balance sheets to record accounts payable.
Prepared and posted weekly payments to vendors and suppliers.
Input statement information, reconciled accounts and resolved discrepancies.
Expedited payments by verifying accuracy and currency of vendor information.
Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
Medical Biller/Claims Follow up
Professional Medical Billing Associates
Fort Wayne, IN
09.2017 - 01.2021
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Compiled and processed data for billing purposes utilizing billing software programs.
Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
Generated reports in order to track payments due from insurance companies or other third party payers.
Submitted electronic claims to various insurance carriers.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Collaborated with managers to develop strategies for improving revenue cycle processes.
Reviewed claims for coding accuracy.
Submitted claims to insurance companies.
Collected, posted and managed patient account payments.
Managed all payments processing, invoicing and collections tasks.
Monitored past due accounts and pursued collections on outstanding invoices.
Answered customer questions to maintain high satisfaction levels.
Medical Biller
Allen County Cardiology
Fort Wayne, IN
09.2016 - 09.2017
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Compiled and processed data for billing purposes utilizing billing software programs.
Submitted electronic claims to various insurance carriers.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Medical Biller
Independent Networking Group
Auburn, IN
11.2015 - 07.2017
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Compiled and processed data for billing purposes utilizing billing software programs.
Generated reports in order to track payments due from insurance companies or other third party payers.
Submitted electronic claims to various insurance carriers.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
Medical Biller and Coder
Alamo Osteopathic Physicians & Surgeons
San Antonio, TX
10.2012 - 08.2015
Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
Verified accuracy of patient information and insurance data in billing system.
Submitted claims to insurance companies electronically or by mail.
Resolved denied claims by researching payer requirements and preparing appeals.
Reconciled accounts receivable to ensure accuracy of payments received.
Education
Medical Billing And Coding - Medical Billing And Coding
Everest Institute - San Antonio
San Antonio, TX
10-2012
Bachelor of Science - Major in Marketing Minor in Accounting
University of The East
Manila, Philippines
10-1986
Accomplishments
Always on President's list in Everest Institute with average of 98%-100%.
Languages
Tagalog
Native/ Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Biller
Change HealthCare through Randstadt Staffing
03.2022 - 05.2024
Medical Biller
Advanced Medical Hearing
01.2021 - 10.2021
Medical Biller/Claims Follow up
Professional Medical Billing Associates
09.2017 - 01.2021
Medical Biller
Allen County Cardiology
09.2016 - 09.2017
Medical Biller
Independent Networking Group
11.2015 - 07.2017
Medical Biller and Coder
Alamo Osteopathic Physicians & Surgeons
10.2012 - 08.2015
Medical Billing And Coding - Medical Billing And Coding
Everest Institute - San Antonio
Bachelor of Science - Major in Marketing Minor in Accounting
Accountant at Innovation, Development & Effectiveness In The Acquisition Of Skills (IDEAS) Project (World Bank)Accountant at Innovation, Development & Effectiveness In The Acquisition Of Skills (IDEAS) Project (World Bank)