I am a highly motivated individual, creative, recognized as a results-oriented, problem solving and solution seeking individual. Areas of strength include: communication skills, time management skills, research abilities, organizational skills, computer literacy, and the ability to work as a team player and team leader.
Overview
17
17
years of professional experience
1
1
Certification
2026
2026
years of post-secondary education
Work History
Medical Billing Specialist
Baxter
03.2025 - Current
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Communicated effectively and extensively with other departments to resolve claims issues.
Located errors and promptly refiled rejected claims.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Identified and resolved patient billing and payment issues.
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Precisely evaluated and verified benefits and eligibility.
Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
Filed and updated patient information and medical records.
Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
Verified insurance of patients to determine eligibility.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Surgery Biller & Coder
Houston ENT
05.2024 - 03.2025
Accurately assigned medical codes to patient records using ICD-10 and CPT coding systems
Reviewed and verified patient information for completeness and accuracy, ensuring compliance with HIPAA regulations
Submitted claims electronically to insurance companies, resulting in faster reimbursement turnaround time
Identified and resolved billing errors or discrepancies, reducing claim denials by insurance payers
Collaborated with healthcare providers to obtain missing documentation necessary for accurate coding and billing
Maintained up-to-date knowledge of coding guidelines, reimbursement policies, and industry changes
Utilized electronic health record (EHR) systems to access patient information for accurate code assignment
Worked closely with physicians and other healthcare professionals to clarify diagnoses or procedures as needed
Ensured timely submission of clean claims by meeting daily productivity targets
Audited medical charts for proper documentation supporting billed services according to payer requirements
Coded and billed for a variety of medical specialties
Identified opportunities for revenue enhancement through proper coding and documentation practices
Collaborated with physicians to ensure accurate capture of diagnoses and procedures performed
Assistant Billing Manager
Lymphedema Therapy Specialist
09.2021 - 04.2024
Accurately assigned medical codes to patient records using ICD-10 and CPT coding systems
Reviewed and verified patient information for completeness and accuracy, ensuring compliance with HIPAA regulations
Submitted claims electronically to insurance companies, resulting in faster reimbursement turnaround time
Identified and resolved billing errors or discrepancies, reducing claim denials by
Collaborated with healthcare providers to obtain missing documentation necessary for accurate coding and billing
Maintained up-to-date knowledge of coding guidelines, reimbursement policies, and industry changes
Utilized electronic health record (EHR) systems to access patient information for accurate code assignment
Worked closely with physicians and other healthcare professionals to clarify diagnoses or procedures as needed
Followed up on unpaid claims or denied reimbursements, resolving issues promptly to maximize revenue collection
Worked with Out of Network Payers to negotiate payments through the No Surprise Act (NSA)
Implemented efficient processes for tracking outstanding balances from insurance companies or patients
Ensured timely submission of clean claims by meeting daily productivity targets
Audited medical charts for proper documentation supporting billed services according to payer requirements
Coded and billed for a variety of medical specialties, including but not limited to cardiology, orthopedics, and dermatology
Identified opportunities for revenue enhancement through proper coding and documentation practices
Collaborated with physicians to ensure accurate capture of diagnoses and procedures performed
Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records
Maintained impeccable office organization to support efficiency, professionalism and performance objectives
Entered invoice data into the company database and updated details, including customer contacts and delivery dates to keep information current
Managed office inventory and placed new supply orders
Handled scheduling and managed timely and effective allocation of resources and calendars
Trained and mentored administrative staff members in company policies, daily task execution and industry best practices
Coordinated office activities and operations to secure efficiency and compliance with company policies
Elevated customer satisfaction ratings by resolving client and case issues effectively
Automated office operations for managing client correspondence, payment scheduling, record tracking and data communications
Directed and oversaw office personnel activities
Solicited vendor quotes to determine optimal material purchase pricing
Conferred with business leaders to evaluate needs and strategic operational improvements
Aided senior leadership during the executive decision-making process, meeting with clients to research case, collect data, prepare settlement packages and interpret information for daily report generation
Developed and maintained strong client relationships to facilitate smooth discussions and timely strategy updates
Office Manager
AV Imaging
07.2020 - 01.2021
Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records
Maintained impeccable office organization to support efficiency, professionalism and performance objectives
Entered invoice data into the company database and updated details, including customer contacts and delivery dates to keep information current
Managed office inventory and placed new supply orders
Handled scheduling and managed timely and effective allocation of resources and calendars
Trained and mentored administrative staff members in company policies, daily task execution and industry best practices
Coordinated office activities and operations to secure efficiency and compliance with company policies
Elevated customer satisfaction ratings by resolving client and case issues effectively
Automated office operations for managing client correspondence, payment scheduling, record tracking and data communications
Directed and oversaw office personnel activities
Solicited vendor quotes to determine optimal material purchase pricing
Conferred with business leaders to evaluate needs and strategic operational improvements
Aided senior leadership during the executive decision-making process, meeting with clients to research cases, collect data, prepare settlement packages and interpret information for daily report generation
Developed and maintained strong client relationships to facilitate smooth discussions and timely strategy updates
Researched market competitors to identify potential new products and service opportunities
Sales Associate
Harris County Jail Aramark
03.2020 - 06.2020
Print out and process all inmate orders
Make sure all electronic devices are properly synced with current day orders
Process current day orders
Prepare pre ordered packages for inmates
Assist management in the day to day operations
Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items
Sold various products by explaining unique features and educating customers on proper application
Built and maintained relationships with peers and upper management to drive team success
Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices
Assisted teammates with sales-processing tasks to meet daily sales goals
Retained product, service and company policy knowledge to serve as a resource for both coworkers and customers
Acted as initial contact in addressing customer concerns
Build trusting relationships with customers by making personal connections
Met merchandise processing standards and maintained an organized and accessible work area
Trained all new sales employees on effective sales, service and operational strategies to maximize team performance
Negotiated and closed deals with minimal oversight
Processed orders through the company system and coordinated product deliveries
Worked with fellow sales team members to achieve group targets
Office Administrative Assistant
Nevada Family Care & Wellness Center
04.2017 - 02.2020
Answered phones to direct callers, schedule appointments and provide general office information
Managed office duties, including ordering materials, organizing work spaces, answering emails and making phone calls
Obtained scanned records and uploaded to the database
Set up and maintain physical and electronic filing systems to maintain organizational efficiency
Oversaw office inventory by restocking supplies and submitting purchase orders
Prepared packages for shipment by generating packing slips and setting up courier deliveries
Guided administrative and professional staff through computer and software problems
Conducted research using various media sources to obtain relevant data for staff requirements
Medical Assistant/Lead Biller/Front Office Lead
Associates In General Surgery
03.2012 - 09.2016
Oversee Lead, motivate, organize, train and assist in problem solving
Greeted patients and visitors with a welcoming, warm demeanor to create a comfortable environment
Registered new patients and created files with detailed personal and medical information
Answered phones politely and directed callers to appropriate personnel
Prepared medical charts, scanned documents and organized patient information
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies
Applied HIPAA regulations to maintain patient confidentiality and protect health information
Updated patient medical records
Facilitated patient flow by notifying providers of patient arrival and processing paperwork
Responding to patient and visitor concerns and questions
Processed medical record requests for insurance companies and medical providers
Managed laboratory tests and x-rays
Performed basic medical duties such as removing sutures and administering medications
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment
Prepared treatment rooms for patients by cleaning surfaces and restocking supplies
Contact pharmacies to submit and refill patients' prescriptions
Office Manager
DMenace Copies and Communication
05.2008 - 05.2012
Managed accounts and sales
Performed marketing tasks to gain business accounts
Provide graphic design
Assist in general administration of the business
Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records
Maintained impeccable office organization to support efficiency, professionalism and performance objectives
Entered invoice data into the company database and updated details, including customer contacts and delivery dates to keep information current
Managed office inventory and placed new supply orders
Handled scheduling and managed timely and effective allocation of resources and calendars
Trained and mentored administrative staff members in company policies, daily task execution and industry best practices
Coordinated office activities and operations to secure efficiency and compliance with company policies
Elevated customer satisfaction ratings by resolving client and case issues effectively
Reduced financial discrepancies by accurately managing accounting documentation in QuickBooks while maintaining case costs and billing processes
Solicited vendor quotes to determine optimal material purchase pricing
Education
Certificate - Medical Billing & Coding
Charter College
Long Beach
High School Diploma -
Long Beach Polytechnic High School
Long Beach
06.2005
Skills
Microsoft Office Suite
Medical terminology
Electronic health records
ICD-9 and ICD-10 coding
CPT coding
Medical billing and coding
No Surprise Act compliance
Budget planning
CRM and office management
Attention to detail
Customer relations
Event coordination
Scheduling and calendar management
Training and coaching
Expense reporting
Invoicing and billing
Data entry
Senior leadership support
Collaboration skills
Self-management strategies
Quick learner
Certification
CPR/AED First Aid
Certified Biller and Coder
Public Notary of Texas
PERSONAL INFORMATION
Throughout the years I have worked in various medical billing and patient services. My long term goal is to obtain a position to continue growing in the field. I am driven for results and don't mind change. I am open to relocation and promotional opportunities.
Senior Client Relations Specialist at Veterans Affairs Medical Center (Prosthetics)Senior Client Relations Specialist at Veterans Affairs Medical Center (Prosthetics)