Kiara Manuel
Ontario,California
Summary
Competent Revenue Specialist with more than 15 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Revenue Specialist II
DaVita
Irvine , CA
041122 - Current
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Used Microsoft Word and other software tools to create documents and other communications.
- Carried out day-to-day duties accurately and efficiently.
- Compiled and tracked outstanding balances owed to medical facilities.
- Contact payors to reconcile/collect outstanding balances.
- Submit appeals when necessary.
- Communicate with patients and or Social Workers to ensure that outstanding claims are processed accurately.
- Liaison between patient's, facility and insurance company.
Medical Biller, Accounts Receivable
Medi-Management Systems
Bermuda Dunes, CA
08.2021 - 05.2022
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies and billing office.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Collected payments and applied to patient accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Instructor Medical
Billing and Coding | American Career College
Los Angeles, CA
07.2014 - 06.2020
- Teach set curriculum on medical terminology, anatomy physiology, and pharmacology
- Prepare students to take coding certification exam after their seven month in class course (ie, CPC, CCS,CCA)
- Observed and evaluated students' work to determine progress, provide feedback and make suggestions for improvement.
- Provided detailed instruction and role modeling for acceptable social and work-related behaviors.
- Engaged students in academic and practical conversations that elicited critical thinking, creativity, collaboration and communication.
- Presented lectures and conducted discussions to increase students' knowledge and competence using visual aids such as graphs, charts and slides.
- Kept updated with developments in subject area curriculum, technical and career trends and teaching resources and methods.
- Deployed technology and current research in instruction and monitored students' progress in use of online learning materials and technology.
- Identified program successes and failures based on student assessments and course reviews.
- Developed software content, study aids, and handouts for industry professionals.
- Evaluated students' competencies through written assignments and examinations
- Distributed course syllabus and communicated course standards and learning objectives to students
Motor Vehicle Field
Motor Vehicles
01.2011 - 10.2014
- Input customers demographics quickly and accurately for CA Licenses/ID’s and or
- Vehicle registration information
- Assist and educate public on laws regarding
- Vehicle registration and driving privileges
- Liaison between car dealers and department
- Assist dealerships and their customers by registering their vehicles to be driven legally on California highways.
- Processed payments for fines and fees, maintained accurate drawers, issued receipts and updated account balances
- Created documents with applicant information and verified data against forms database information
Unit Secretary and Patient Registration Specialist
Eisenhower Medical Center
07.2009 - 01.2011
- Input patient demographics upon arrival for inpatient services and or treatments
- Input all doctor’s orders into computer system for medications and tests to be done
- Assist physicians and nurses with any and all ordering of any procedures, answer and transfer all incoming calls for physicians and patients
- Duties for Patient Registration Specialist:
- Check in patients for outpatient procedures, input patient demographics quickly and
- Accurately for procedures and billing purposes
- Verify insurance and collect any
- Copayments and or past due balances owed by the patient
- Select correct procedure and diagnosis codes for maximum reimbursement.
- Organized paperwork such as charts and reports for office and patient needs
- Facilitated lab orders and medication administration
- Maintained rapport with physicians, nurses and other healthcare personnel
- Provided information for patient admissions and discharges to foster timely processing
- Transcribed doctors' medication orders, lab test requests and care plans
- Maintained current and accurate medical records for patients
Education
Bachelor of Science - Health Care Administration
Dallas Baptist University
Dallas, TXVocational - Medical Billing And Coding
Kaplan College
Palm Springs, CA01.2005
Skills
- Multi-Tasker
- Fast learner
- Proficient with all Microsoft products
- Strong Leadership Skills
- Good communication skills
- Account Reconciliation
- Multitasking and Organization
- Billing and Collections Procedures
- Speaking Clearly
Accomplishments
- CPC through AAPC received 8/06-8/11
- Certified Coding Assistant through AHIMA as of 8/2015- Current 2
Certification
- CCA, AHIMA - 2015
Timeline
Medical Biller, Accounts Receivable
Medi-Management Systems
08.2021 - 05.2022
Instructor Medical
Billing and Coding | American Career College
07.2014 - 06.2020
Motor Vehicle Field
Motor Vehicles
01.2011 - 10.2014
Unit Secretary and Patient Registration Specialist
Eisenhower Medical Center
07.2009 - 01.2011
Patient Revenue Specialist II
DaVita
041122 - Current
Bachelor of Science - Health Care Administration
Dallas Baptist University
Vocational - Medical Billing And Coding
Kaplan College
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