KEILA MIRANDA
Deltona,USA
Summary
Professional with strong expertise in medical billing, bringing a reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with a keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist (Manager Deltona)
RIVERA FAMILY CHIROPRACTIC CENTER
07.2023 - Current
- Conducted insurance verifications and managed medical records requests, ensuring prompt responses and accurate invoicing
- Handle inquiries from attorneys, patients, and insurance providers, resolving claims and patient accounts issues
- Analyze and process insurance claims for diverse types of insurance including Major Medical, Medicare Advantage, Auto accidents, and Worker’s compensation
- Post payments, reconcile accounts, and keep detailed documentation of the claim lifecycle
Insurance Verifications/Medical Records Specialist
CENTRAL FLORIDA TOTAL HEALTHCARE
02.2023 - 07.2023
- Conducted thorough insurance verifications and managed invoicing for medical records requests
- Supplied excellent customer service, addressing inquiries from patients about benefits coverage
- Supported administrative functions remotely, ensuring seamless operations
- 100% Remote
Medical Billing Specialist
CENTRAL FLORIDA PRIMARY CARE
10.2017 - 02.2023
- Analyzed and processed insurance claims accurately and efficiently for the three practice locations
- Posting checks, analyzing EOB, managing rejections, and claim resubmission
- Generated patient collection letters and aided with monthly reports as needed
- Managed patient correspondence, including sorting mail and responding to inquiries
Billing Unit Supervisor
MAYAGUEZ MEDICAL CENTER
02.2015 - 04.2017
- Supervised billing operations, including accounts reconciliation and resolution of billing errors
- Conducted office visits for bulk claims reconsiderations and supplied leadership in coding and billing processes
Billing/Accounts Receivable Clerk
MAYAGUEZ MEDICAL CENTER
04.2014 - 02.2015
- Managed billing processes, invoicing, payment processing, and accounts reconciliation
Medical Biller/Administrative Assistant
WESTERN ORAL & MAXILLOFACIAL SURGERY
06.2000 - 12.2005
- Managed invoicing, payment processing, accounts reconciliation, and customer service
Education
Biology bachelor's degree - Pre-Medical Technology
Interamerican University of PR
05.1996
Skills
- Proficient in MS Word, MS Excel, and Outlook
- Adaptive person with a keen ability to adapt to new systems and procedures
- Strong teamwork and interpersonal skills
- Experienced with eClinicalWorks, ChiroTouch, UB04, CMS-1500, ADA, and medical terminology
- Ability in insurance verification, CPT, ICD-10, and HCPCS coding
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Medical terminology
- Medical billing
- Electronic health record software
Certification
- CPC Certification - AAPC (October2022)
- PIC CONSULTANTS/PRHIMA CPT4, Mayaguez PR, MAYAGUEZ MEDICAL CENTER (February2016)
- PRHIMA ICD-10 PCS SEMINAR, Mayaguez PR, MAYAGUEZ MEDICAL CENTER (September2015)
- Inpatient and Outpatient Medical Billing & Coding Course, Career Step, Utah (Online Course) (June2013)
- Medical Billing Certificate, University of PR, Mayaguez PR (April2000 - May2000)
LANGUAGES
Spanish (Fluent)
English (Intermediate)
Affiliations
- AAPC Member
Timeline
Medical Billing Specialist (Manager Deltona)
RIVERA FAMILY CHIROPRACTIC CENTER
07.2023 - Current
Insurance Verifications/Medical Records Specialist
CENTRAL FLORIDA TOTAL HEALTHCARE
02.2023 - 07.2023
Medical Billing Specialist
CENTRAL FLORIDA PRIMARY CARE
10.2017 - 02.2023
Billing Unit Supervisor
MAYAGUEZ MEDICAL CENTER
02.2015 - 04.2017
Billing/Accounts Receivable Clerk
MAYAGUEZ MEDICAL CENTER
04.2014 - 02.2015
Medical Biller/Administrative Assistant
WESTERN ORAL & MAXILLOFACIAL SURGERY
06.2000 - 12.2005
- CPC Certification - AAPC (October2022)
- PIC CONSULTANTS/PRHIMA CPT4, Mayaguez PR, MAYAGUEZ MEDICAL CENTER (February2016)
- PRHIMA ICD-10 PCS SEMINAR, Mayaguez PR, MAYAGUEZ MEDICAL CENTER (September2015)
- Inpatient and Outpatient Medical Billing & Coding Course, Career Step, Utah (Online Course) (June2013)
- Medical Billing Certificate, University of PR, Mayaguez PR (April2000 - May2000)
Biology bachelor's degree - Pre-Medical Technology
Interamerican University of PR
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