Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Laura Sanchez

Yuma,AZ

Summary

Knowledgeable Medical Receivables Specialist well-diversified in ICD-10 and CPT/HCPCS and outpatient coding. Self-motivated with a strong work ethic. Years of experience in claim edits and denials, with 23 years experience in coding.

Overview

24
24
years of professional experience

Work History

Medical Receivables Specialist 11

Sunset Health
06.2018 - Current

.

  • Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
  • Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
  • Collaborated with billing department staff to ensure accurate coding and charge entry, minimizing future claim denials.
  • Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Maintained current knowledge of CPT/HCPCS and ICD-10 CM/PCS coding principles, government regulation, protocols and third-party billing requirements.
  • Used POS system to process commercial payments.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Contributed to improved patient satisfaction by promptly addressing inquiries related to their payments or account balances.

Medical Receivables Specialist 1

Sunset Community Health Center
06.2011 - 06.2018
  • Accurately assigned E/M codes based on documentation in medical records according to coding guidelines.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Handled account payments and provided information regarding outstanding balances.
  • Assisted in training employees on charge entry procedures, promoting best practices for efficient workflow.
  • Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Followed exact procedures for handling transfers and other releases of medical billing records to Attorneys, ext.

Receptionist Cashier/Medical Coder

Sunset Community Health Center
07.2000 - 06.2011
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-9 and HCPCS codes.
  • Developed strong working relationships with physicians, nurses, and office staff.
  • Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance,demographic, and health history to keep information current.
  • Assisted in training new employees on. Promoting best practices for efficient workflow.

Education

GED -

Yuma High School
Yuma, AZ

Diploma - Computerized Office Administration

Arizona Computer Institute
Yuma, AZ

CPC Certified -

AAPC
Yuma, AZ

Medical Terminology Certification -

Regional Medical Center
Yuma, AZ

Skills

    ICD-10 CM/PCS CPT/HCPCS

    Auditing coding

    Attention to Detail

    Time Management

    Medical Terminology

    EHR Systems

    Microsoft Excel

    10 key touch

    Medicare and Medicaid Processes

    Insurance Verification

    Appeals Processing

    Payment Posting

    Certified Professional Coder

Languages

Spanish
Professional Working

Timeline

Medical Receivables Specialist 11

Sunset Health
06.2018 - Current

Medical Receivables Specialist 1

Sunset Community Health Center
06.2011 - 06.2018

Receptionist Cashier/Medical Coder

Sunset Community Health Center
07.2000 - 06.2011

GED -

Yuma High School

Diploma - Computerized Office Administration

Arizona Computer Institute

CPC Certified -

AAPC

Medical Terminology Certification -

Regional Medical Center
Laura Sanchez