Seeking full-time employment where I can gain future experience and knowledge simultaneously utilizing education, skills and abilities in the medical field. Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.
Skilled Medical Billing and Collections Specialist possessing comprehensive knowledge in healthcare revenue cycle management, claim resolution, and insurance reimbursement procedures. Strengths include strong analytical skills, ability to handle high-volume tasks, and proficiency in medical billing software. Noteworthy impact includes successful reduction of outstanding accounts receivable balances and streamlining billing processes for improved efficiency.
Work History
Medical Biller and Coder
10 Months
Tarzana providence hospital | 10.2023 - 08.2024
Utilized ICD-10 and CPT coding systems to classify patient diagnoses and procedures.
Reviewed medical records for accuracy and compliance with coding standards.
Processed insurance claims efficiently to ensure timely reimbursement.
Collaborated with healthcare providers to resolve billing discrepancies and improve patient satisfaction.
Analyzed denied claims to identify trends, leading to strategic adjustments in billing practices.
Implemented process improvements that reduced billing errors and enhanced workflow efficiency.
Medical Billing and Collections Specialist
2 Years 10 Months
Mission Community Hospital | 10.2023 - Current
Monitored regulatory changes in healthcare billing practices to ensure compliance.
Responded promptly to customer inquiries regarding billing disputes or discrepancies.
Reviewed, coded, and submitted claims to insurance companies and government payers, facilitating timely reimbursements.
Maintained detailed records of all billing activities in compliance with company policies and procedures.
Analyzed account receivables aging report to identify delinquent accounts.
Analyzed account receivables aging report to identify delinquent accounts.
Followed up on unpaid or denied claims to recover outstanding payments efficiently.
Processed and submitted medical claims to insurance companies for timely reimbursement.
Medical Biller and Coder
3 Years 10 Months
Providence Cedars-Sinai Tarzana Medical Center | 05.2020 - 03.2024
Reviewed medical records, identifying diagnosis codes and associated procedures to ensure accurate coding.
Analyzed patient accounts to resolve errors and discrepancies, enhancing billing accuracy.
Submitted claims to insurance companies electronically or by mail.
Provided customer service support to patients, addressing billing inquiries and fostering positive communication.
Medical Biller and Coder
1 Year 11 Months
Orthopedic pain management | 05.2020 - 04.2022
Developed departmental policies to enhance charge capture processes and coding practices.
Reviewed medical records to accurately identify diagnosis codes, procedures, services, and supplies for optimal coding.
Analyzed trends in denials and collaborated with clinic staff to implement strategies that addressed denial issues.
Workers Compensation Collection, Hearing Rep.
8 Months
Dr. Thomas Curtis MD | 07.2019 - 03.2020
Settled accounts for mental health, psyche worker compensation, personal injuries, and private claims, Prepared legal liens for submission to ensure compliance with regulations., Documented outstanding receivables to track payment status., resubmit for all unpaid dates of service.
Assisted with patient scheduling and managed appointment confirmations to enhance office efficiency.
Maintained accurate patient records using electronic health record systems to ensure compliance and accessibility.
Supported medical staff by preparing exam rooms and ensuring necessary supplies were available for procedures.
Supervisor
6 Years 4 Months
Ronco | 01.2013 - 05.2019
Managed 8 collectors to consistently achieve monthly quotas.
Settle various accounts such as Workers' Compensation, personal injuries, and private claims. Filed liens for unpaid accounts to secure payment, then, resubmit for all unpaid dates of service.
Applied leadership and problem-solving skills to enhance team efficiency and streamline workflows.
Oversaw daily operations, ensuring adherence to safety protocols and company standards.
Led team meetings to enhance communication and improve workflow efficiency.
Trained new employees on operational procedures and best practices.
Implemented process improvements that streamlined production timelines.
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Lien Specialist
4 Years 1 Month
GREEN LIEN COLLECTIONS | 06.2009 - 07.2013
Settle various accounts such as Worker Compensation, personal injuries, and private claims Filed legal liens to secure claims against unpaid accounts, Dor, resubmitted for all unpaid dates of service.
Streamlined documentation processes to enhance accuracy and efficiency in collections management.
Analyzed customer accounts to identify trends and improve recovery strategies.
Developed standardized reporting methods to monitor collection performance metrics.
Lien Specialist
2 Years 8 Months
VALLEY SPINE CENTER | 09.2006 - 05.2009
Settle various accounts such as Worker Compensation, personal injuries, and private claims Filed liens to secure payment for unpaid claims, do resubmit for all unpaid dates of service.
Reviewed files to assess current status of injury claims and developed actionable plans.
Managed patient accounts to ensure timely resolution of outstanding medical bills.
Utilized billing software to track payments and resolve discrepancies efficiently.
Conducted follow-up calls on overdue accounts, maintaining professionalism and empathy.
Streamlined medical billing procedures for increased efficiency and accuracy in the collections process.
Maintained accurate records of all collection activities, enabling easy retrieval and analysis of data for management reporting purposes.
Worker Compensation Collection
1 Year 5 Months
MARK GREENSPAN MD | 02.2005 - 07.2006
Settle various accounts such as Worker Compensation, QME, AME, PQME, IME personal injuries, and private claims Filed legal liens to secure payment for services rendered, Processed documentation requests for timely account management, resubmit for all unpaid dates of service.
Contributed to continuous improvement by generating suggestions and engaging in problem-solving activities to enhance team collaboration.
Managed patient accounts to ensure timely collections and reduce outstanding balances.
Maximized reimbursement rates through a thorough understanding of medical coding practices and payer-specific requirements.
Expedited claim resolution timeframes by effectively communicating with insurance representatives and resolving discrepancies.
Identified trends in unpaid claims, developing targeted collection strategies to address specific issues.
Increased collections by implementing effective follow-up strategies with insurance companies and patients.
Maintained detailed records of all collection efforts, facilitating accurate reporting and analysis of performance metrics.
Corrected, completed and processed claims for multiple payer codes.
Medical Collector
1 Year
VALLEY PRESBYTERIAN HOSPITAL | 08.2025 - Current
Managed patient accounts for timely collection of outstanding balances.
Coordinated with insurance providers to resolve billing discrepancies and claims issues.
Analyzed payment trends to identify areas for process improvement and efficiency gains.
Mentored junior staff on best practices in medical collections and customer service techniques.
Maintained detailed records of all collection efforts, facilitating accurate reporting and analysis of performance metrics.
Reduced claim rejections by maintaining accurate patient information and diligently verifying insurance coverage.
Enhanced revenue recovery by efficiently managing a high volume of medical claims.
Researched billing errors and discrepancies to initiate corrective action.
Processed online and paper appeal submissions and refund requests.
Education
Bachelor of Administrative Studies - Business Administration And Management
Colorado Technical University | Colorado Springs, CO | 03-2023
Certified Medical Biller /Health Claims Examiner - MEDICAL BILLER
Adelante Career Institute | Van Nuys, CA | 04-2008
GPA: 3.0, Outstanding Attendance Award
Master of Science - Health Administration
Colorado Technical University | Colorado Springs, CO | 03-2027
Skills
ICD-10 expertise
Medical coding
CMS-1500 processing
UB-04 processing
Effective communication
Insurance coding
Account management
Compensation billing
Insurance billing
Document Formatting
Financial Analysis
Cross-Functional Coordination
Appeals management
Billing management
Interpersonal communication
Medical terminology
Billing procedures
Revenue cycle management
Documentation and reporting
Report preparation
Data entry
Electronic filing system organization
Complaint resolution
Customer service
Customer Relations
Effective Communication
Effective communication
Writing skills
Support
Team collaboration
Claim handling
Professionalism
Healthcare billing
Negotiation skills
Performance improvement
Documentation management
CPT Coding
Compensation forms
Patient Support
Claims Management
ICD-10 coding
Workers' compensation processing
Delinquent account management
Timeline
Medical Collector
VALLEY PRESBYTERIAN HOSPITAL
08.2025 - CurrentRead More
Medical Biller and Coder
Tarzana providence hospital
10.2023 - 08.2024Read More
Medical Billing and Collections Specialist
Mission Community Hospital
10.2023 - CurrentRead More
Medical Biller and Coder
Providence Cedars-Sinai Tarzana Medical Center
05.2020 - 03.2024Read More
Medical Biller and Coder
Orthopedic pain management
05.2020 - 04.2022Read More
Workers Compensation Collection, Hearing Rep.
Dr. Thomas Curtis MD
07.2019 - 03.2020Read More
Supervisor
Ronco
01.2013 - 05.2019Read More
Lien Specialist
GREEN LIEN COLLECTIONS
06.2009 - 07.2013Read More
Lien Specialist
VALLEY SPINE CENTER
09.2006 - 05.2009Read More
Worker Compensation Collection
MARK GREENSPAN MD
02.2005 - 07.2006Read More
Adelante Career Institute
Certified Medical Biller /Health Claims Examiner from MEDICAL BILLER
Read More
Colorado Technical University
Bachelor of Administrative Studies from Business Administration And Management