Karla Garciasoto
Las Vegas
Summary
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
Orthodontic biller
Hansen Orthodontics
Las Vegas
10.2021 - Current
- Processed medical billing claims using electronic health record systems.
- Reviewed patient accounts for accuracy and completeness before submission.
- Communicated with insurance companies to resolve billing discrepancies.
- Coordinated with healthcare providers to obtain necessary documentation.
- Trained new staff on billing procedures and software usage.
- Assisted in audits by providing requested financial documentation and reports.
- Verified insurance eligibility for patients by calling appropriate parties.
Medical Billing Manager
Seven Hills Orthodontics
Henderson
01.2018 - 09.2021
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Performed coding quality reviews and tracked, trended, and managed coding quality performance.
- Developed and orally presented to Senior Management weekly financial reports.
- Collaborated with customers to develop payment plans and bring accounts current.
- Provided translation (Spanish/English) services for physicians and patients.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Performed spending analysis and partnerships to refine policies and develop recommendations for improvement.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Reviewed each step of patient care and made proactive adjustments to avert issues.
- Educated patients by explaining preparation instructions for upcoming procedures and tests.
- Worked with patients and families to develop future care plans and discuss care actions and financials.
- Performed billing, collection and reporting functions for office generating over $[Number] annually
Trade Show Technician
World Market Center Of Las Vegas
Las Vegas
07.2016 - 08.2021
- Overall Cleaning and Maintenance of all showrooms
- Completed partial or full dismantling of equipment to quickly repair or replace defective components and restore functionality.
- Performed proper maintenance of lighting equipment, ensuring safety and quality operations.
Manager
Baja Fresh Restaurant
Las Vegas
03.2014 - 07.2017
- Supervise and coordinate all culinary activities
- Oversee guest services and resolve issues
- Ensure a high quality of ingredients and food preparation
- Train and manage kitchen personnel
- Create and adjust staff schedules to meet restaurant needs
- Adhere to all safety and sanitation regulations
- Manage labor and scheduling
- Manage food cost
- Ordering/ Receiving
- Staff hiring, development and retention
- De-escalate customers with disputes
- Resolved employee conflicts
Education
High School Diploma -
Clark County Adult High School
Las Vegas06.2015
Associate in Medical Coding -
Asher College
Las Vegas, NVSkills
- Treatment Documentation
- Problem Solving
- Verbal and Written Communication
- Insurance Billing
- Coding Error Resolution
- Microsoft Office
- Multitasking and Prioritization
- Customer/Patient De-Escalating and Service Management
Languages
Spanish, Native or Bilingual
Certification
- HIPPA Certified
Timeline
Orthodontic biller
Hansen Orthodontics
10.2021 - Current
Medical Billing Manager
Seven Hills Orthodontics
01.2018 - 09.2021
Trade Show Technician
World Market Center Of Las Vegas
07.2016 - 08.2021
Manager
Baja Fresh Restaurant
03.2014 - 07.2017
High School Diploma -
Clark County Adult High School
Associate in Medical Coding -
Asher College
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