Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kasey Moreno

San Jacinto,CA

Summary

I am a compassionate Medical Biller with over 20 years of hands-on experience in the medical billing process from start to finish. I have a strong ability in being highly organized, proactive and punctual with a team-oriented mentality. I am accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance accuracy and minimize back end work. I demonstrates self motivation and leadership skills to ensure success, optimize performance and sustain organizational success.

Overview

27
27
years of professional experience

Work History

AccentCare
Remote, Corona, CA
02.2024 - Current
  • Initiate billing on assigned claims in an expeditious manner, whether through hard copy claims or electronic format. Maintain control of claims billed and pending to ensure full accountability for all claims.
  • Follow-up on all unpaid claims within the required timeframes. Submit all necessary level of appeals and maintain documentation of all collection activity.
  • Communicate with AR manager of issues that may prevent timely follow up on accounts.
  • Work EOB/Remittance advices on a daily basis to identify denials or short paid claims.
  • Work with branch office designee on eligibility issues and necessary documentation to ensure timely collection of accounts.
  • Demonstrate aggressive yet conscientious collection efforts.
  • Request approval for account adjustments as appropriate.
  • Analyze account history and other factors to expedite payment and improve cash flow.

Integration Biller

Optum, UHG
Remote Worker, CA
12.2020 - 08.2023
  • Helped in establishing and facilitating billing workflows with newly acquired clinics to the Optum organization.
  • Helped establish and integrate new clinics billing practices to the optum billing system.
  • Facilitated communication between clinicians and billing department staff.
  • Trained and provided support for new staff members in billing software and applications needed for manual data entry tasks.
  • Trained staff members on coding techniques, billing protocols, and other aspects of medical billing operations.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Provided technical support to practice personnel regarding electronic health record systems.
  • Managed relationships with clinical personnel providing services related to medical billing operations.
  • Addressed and responded to staff and clinic inquiries regarding CPT and diagnosis codes.
  • Collaborated with clinical personnel on documentation requirements that impact reimbursement outcomes.
  • Collaborated with managers to develop strategies for improving revenue cycle processes.
  • Took pride in developing strong professional rapport with managers, staff members in the clinics and other teammates.
  • Manual data entry tasks involving patient demographics, patient insurance coverage, payment posting and charge capture.
  • Reviewed patient demographics and Insurance policy information for accuracy and completeness.
  • Posted and managed patient payments collected at the time of service.
  • Posted and managed patient charges and reviewed all charges that were rendered were captured.
  • Reviewed claims for coding accuracy, including reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Verified accuracy of information and resolved discrepancies with the billing team to resolve patient's receiving bills.
  • Reviewed pre billing edits.
  • Maintained accurate records of all billing activity in accordance with departmental standards, including creating excel tracking logs.
  • Applied HIPAA privacy and security regulations while handling patient information.

Medical Biller

Dr. Frank Q. Tang Pediatric and Family Practice
Murrieta, CA
09.2002 - 12.2020
  • Reviewed doctors notes and checked for accuracy of code selection prior to submitting claims to Insurance company's.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Reconciled codes against services rendered.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Processed and reconciled accounts receivable transactions, including payments, credits, and adjustments.
  • Managed all payments processing, invoicing and collections tasks.
  • Entered payment information into databases to update account status and balances accurately.
  • Resolved discrepancies in billing data to ensure accuracy of client invoices.
  • Communicated with customers regarding overdue payments or outstanding balances.
  • Investigated customer complaints related to billing inaccuracies or errors promptly.
  • Processed invoices and payments accurately and promptly.
  • Drove integrity of accounting information by recording, verifying and entering accounts payable and accounts receivable transactions.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Developed processes to improve efficiency and accuracy of billing process.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Performed filing duties including sorting incoming mail, maintaining filing system, and organizing documents.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Assisted with other administrative tasks as assigned.

Senior Teller

Washington Mutual Bank
Temecula, CA
11.1998 - 09.2002
  • Welcomed customers and offered pleasant service during entire transaction.
  • Provided support to customers with inquiries regarding their accounts.
  • Verified amounts and integrity of every check or funds transfer.
  • Ordered checks, placed stop payment orders and conducted additional special services for customers.
  • Assisted customers with opening new accounts or closing existing ones as needed.
  • Handled cash transactions, balanced cash drawers, issued cashier's checks and answered phones.
  • Balanced cash drawer daily and ensured accuracy of all transactions.
  • Verified identity information provided by customers during account openings or transactions requiring identification verification.
  • Ensured that security protocols were followed when handling large sums of money or sensitive documents.
  • Coached and mentored junior tellers on best practices for customer service and processing transactions.
  • Trained new employees on bank policies, work ethic and daily tasks and activities.

Education

Course Completed - Certified Professional Coder

AAPC
Online Course
08.2020

Medical Assistant Diploma - Back Office Medical Assistant

Skadron College
San Bernardino, CA
08.2002

High School Diploma -

Murrieta Valley High School
Murrieta, CA
07.1998

Skills

  • Medical Billing and Collections
  • Payment Posting
  • Charge Posting
  • Reviewing Coding Data
  • Knowledge of ICD-10 Coding
  • Knowledge of CPT Coding
  • Claim Review
  • CMS-1500 Billing Forms
  • UB-04 CMS-1450 Forms
  • Billing Dispute/Denial Resolution
  • Invoice Processing
  • Medical Terminology
  • Knowledge of Commercial, Medicare and Private Insurance
  • Patient Information Management
  • Insurance Eligibility Verification
  • Accounts Receivable
  • Account Follow-Up
  • Experience with Electronic Health Record/ PM Software: -EClinicalworks (Extensive) - NextGen (Entry) Athena (Entry) - Practice Fusion (Entry)
  • Experience with Office Ally and Waystar Clearinghouses
  • Records Maintenance
  • Customer Service

Timeline

AccentCare
02.2024 - Current

Integration Biller

Optum, UHG
12.2020 - 08.2023

Medical Biller

Dr. Frank Q. Tang Pediatric and Family Practice
09.2002 - 12.2020

Senior Teller

Washington Mutual Bank
11.1998 - 09.2002

Course Completed - Certified Professional Coder

AAPC

Medical Assistant Diploma - Back Office Medical Assistant

Skadron College

High School Diploma -

Murrieta Valley High School

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