Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Kimberlin Cabrera

Tomball,TX

Overview

9
9
years of professional experience

Work History

Medical Billing Clerk

Therapy for life
Houston , TX
05.2023 - Current

Medical Biller and Coder/Authorization Specialist

Therapy for life
Houston , TX
05.2023 - Current
  • Submitted claims to insurance companies electronically or by mail.
  • Resolved denied claims by researching payer requirements and preparing appeals.
  • Prepared financial statements that summarize account activity over a period of time.
  • Monitored the progress of outstanding appeals and escalated unresolved cases as necessary.
  • Compiled evidence to support appeals, including medical records, bills, and other documentation.
  • Assessed denial reasons for accuracy and completeness.
  • Identified trends in denied claims that may require further investigation.
  • Coordinated with other departments within the organization to ensure timely resolution of claims issues.
  • Maintained accurate records of all communications with insurance companies and healthcare providers.
  • Reviewed appeal documents and identified discrepancies in claim information.
  • Interpreted policies to determine coverage eligibility for appeals.
  • Drafted letters to insurance companies regarding appeals and claims status.
  • Provided updates on appeal statuses to patients as requested.
  • Prepared reports for management detailing collection efforts and outcomes.
  • Reviewed documentation and accounts to gain full picture.
  • Verified details with policyholders and requested additional information.
  • Analyzed claims data to identify trends and recommend changes to reduce risk and prevent fraud.
  • Reviewed and processed authorization requests for medical services efficiently.
  • Communicated with insurance providers to verify patient coverage and eligibility.
  • Maintained accurate records of authorizations in electronic health systems.
  • Educated patients on authorization processes and required documentation.
  • Resolved discrepancies in authorizations through effective problem-solving techniques.
  • Researched patient eligibility, coverage information, and benefit levels.
  • Verified insurance authorizations with payers via telephone or web-based systems.
  • Coordinated communication between providers, patients, payers, and other departments as needed.
  • Reviewed authorization requests for accuracy and completeness.

Billing Clerk

Spring Branch Community Health Center
Houston , TX
09.2022 - 05.2023
  • Processed invoice payments and recorded information in account database.
  • properly code services, procedures, diagnosis, and treatments.
  • sending off claims and invoices for payment.
  • posting payments.
  • Submitted clean claims to insurance companies electronically to secure payments.
  • Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • take phone calls from patients, with any concerns regarding their bill.
  • keeping track of payments.
  • Investigated rejected and denied claims, correcting applicable coding.
  • Experience with IMS,ECW,MEDFORMIX.
  • Medicare,Medicaid, and private insurance claims.
  • use EOB to explain how insurance is processed for the claim for the services the patient received.
  • Familiar with Community health choice and United Healthcare

Health Care Advocate

Accolade
Houston, TX
03.2022 - 08.2022
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Developed strong customer relationships to encourage repeat business.
  • inform patients of benefits included in their insurance.
  • educate patient on 2nd md.
  • listen closely to every concern related to their health

Customer Service

FMA Alliance
Tomball, TX
08.2017 - 02.2022
  • Answer all questions and guide borrowers through the application process.
  • Assist customers with completing loan applications and other related loans documentation.
  • update consumer's account information during and after each call.
  • Identify payment options: set up payment arrangements as appropriate.
  • Follows policies and procedures; complete administrative task correctly and on time.

Clerk/Cashier

Honda of Tomaball
Tomball, TX
06.2016 - 07.2017
  • Operated cash register or POS system to receive payment by cash, check and credit card.
  • Accepted cash and credit card payments, issued receipts and provided change.
  • Answered customer questions and provided store information.
  • Delivered high level of customer service to patrons using active listening and engagement skills.
  • Completed daily recovery tasks to keep areas clean and neat for maximum productivity.

Education

Certified Medical Biller And Coder -

Collage of Health Care Professions
Houston
03.2022

Skills

  • Healthcare claim coding
  • Data entry
  • Medical terminology
  • Medical record security
  • Account updating
  • Appeals
  • explanation of benefits
  • customer service
  • know how to read EOBS
  • fast learner
  • experience with ECW,IMS,MEDFORMIX EMR systems
  • Bilingual

Additional Information

  • Willing to Relocate.

Timeline

Medical Billing Clerk

Therapy for life
05.2023 - Current

Medical Biller and Coder/Authorization Specialist

Therapy for life
05.2023 - Current

Billing Clerk

Spring Branch Community Health Center
09.2022 - 05.2023

Health Care Advocate

Accolade
03.2022 - 08.2022

Customer Service

FMA Alliance
08.2017 - 02.2022

Clerk/Cashier

Honda of Tomaball
06.2016 - 07.2017

Certified Medical Biller And Coder -

Collage of Health Care Professions

Similar Profiles

CREATE PROFILE
Kimberlin Cabrera