Katia Mejia-Garcia
Houston
Summary
Efficient Medical Biller and Coder known for productivity and ability to complete tasks swiftly. Specialize in medical coding standards, billing software, and insurance claims management. Excel at time management, problem-solving, and communication, ensuring seamless billing processes and accurate coding practices.
Overview
2
2
Languages
12
12
years of professional experience
Work History
Medical Biller and Coder/Dental Front Office Coordinator
Internal Medicine Practice
Houston
04.2014 - Current
- Reviewed patient records for accuracy and completeness, minimizing billing errors.
- Managed billing processes and verified insurance coverage for patients.
- Processed medical claims for multiple insurance providers, ensuring timely reimbursement.
- Utilized billing software to efficiently input and track patient charges and payments.
- Reviewed patient records for accurate coding and documentation compliance.
- Communicated with insurance companies regarding claim denials and appeals.
- Maintained up-to-date knowledge of coding guidelines and regulations.
- Collaborated with healthcare providers to clarify patient information and coding details.
- Managed patient inquiries related to billing statements and insurance coverage.
- Ensured timely filing of all claims within established guidelines.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Filed and submitted insurance claims.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- Provided customer service support to patients regarding billing inquiries.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Documented and filed patient data and medical records.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Case Manager
Visionary Wound & Rehab
Houston
01.2026 - 06.2026
- Coordinated patient care plans with healthcare providers and rehabilitation specialists.
- Assessed patient needs and documented relevant information in electronic health records.
- Communicated with patients to provide support and address their concerns effectively.
- Facilitated referrals to appropriate services based on patient assessments and goals.
Customer Service Representative DME
Sleep Restfully
Austin
01.2024 - 02.2026
- Assisted customers in selecting sleep products tailored to their needs.
- Resolved customer complaints and inquiries through effective communication.
- Processed orders and returns using company-specific software systems.
- Assist patients with CPAP equipment, supplies, billing, and insurance questions.
- Verify insurance eligibility and explain patient benefits.
- Process orders and documentation required for insurance reimbursement.
- Coordinate communication between patients, providers, and insurance companies.
- Deliver exceptional customer service while resolving patient concerns efficiently.
Education
Austin Community College
Austin, TXSkills
- ICD-10-CM CPT HCPCS DrChrono Availity Medicare Portal EMR/EHR Microsoft Word Excel Outlook Claims Management Insurance Verification Medical Documentation Revenue Cycle Management
- Medical coding
- Claims processing
- Billing software
- Insurance verification
- CPT and ICD coding
- Healthcare compliance
- Electronic health records
- Patient communication
- Problem solving
- Attention to detail
- Time management
- Team collaboration
- Customer service
- Data analysis
- Disability claims process
- HIPAA compliance
- Appeals processing
- Revenue cycle management
- Procedural coding
- Claim submission
- Workers' compensation billing
- Medical coding expertise
- CPT coding
- Denial management
- Payment posting
- Medicare and medicaid billing
- ICD-10 proficiency
- HCPCS level II coding
- Anatomy and physiology
- Medical billing procedures
- Commercial insurance billing
- CMS-1500 form completion
- Knowledgeable in DrChrono
- HCPCS coding
- Proficiency in EHR
Languages
English
Full Professional
Spanish
Professional
References
References available upon request.
Timeline
Case Manager
Visionary Wound & Rehab
01.2026 - 06.2026
Customer Service Representative DME
Sleep Restfully
01.2024 - 02.2026
Medical Biller and Coder/Dental Front Office Coordinator
Internal Medicine Practice
04.2014 - Current
Austin Community College