Motivated professional familiar with processing payments and invoices. Hardworking team player with in-depth understanding of accounting standards and procedures. Offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
7
7
years of professional experience
Work History
Payment Poster
ProMD Practice Management
12651 S Dixie Hwy Suite 404, Pinecrest, FL 33156, FL
01.2024 - Current
Reviewed denials received from payers and communicated findings with billing staff.
Participated in departmental meetings concerning improvements in existing payment processes.
Provided customer service support to patients regarding inquiries related to account status and payment history.
Verified accuracy of statements sent to customers for payment reconciliation purposes.
Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
Generated reports on monthly revenue totals, outstanding balances, and other financial indicators as requested by management.
Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.
Assisted in training new team members on proper procedures for posting payments and reconciling accounts receivable ledgers.
Researched discrepancies between patient accounts and remittance advice received from insurance carriers.
Maintained accurate records of all payments posted in an organized filing system.
Analyzed credit card statements for fraudulent activity and took appropriate action when necessary.
Collaborated with various departments within the organization to ensure efficient workflow processes related to payment posting activities.
Processed incoming payments from patients and insurance companies in a timely manner.
Followed up on pending claims that have not been paid by third-party insurers within specified timeframes.
Maintained a working knowledge of industry regulations pertaining to healthcare billing practices.
Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
Updated patient accounts with current information after verifying accuracy of data entered into the system.
Performed audits on accounts receivable transactions for compliance with company policies and procedures.
Communicated effectively with internal teams about any changes or updates made to patient accounts during the posting process.
Ensured compliance with HIPAA regulations when dealing with patient information.
Ensured adherence to HIPAA guidelines when handling confidential information.
Posted payments and sent reviews and denials.
Reviewed refund requests and forwarded information to analyst.
Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
Received payments from insurance providers, handled Medicare packages and completed immediate processing.
Downloaded, printed and batched electronic funds transfers and remits.
Documented payment denials in appropriate billing system and updated account managers swiftly.
Supervised and oversaw large volumes of data with extreme accuracy each day.
Prepared, distributed and reviewed insurance payments and recorded in corporate database.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Generated, mailed and monitored invoices.
Processed credit memos and adjustments according to company policy.
Enhanced customer satisfaction through prompt and courteous handling of all inquiries and complaints.
Provided detailed reports and analyses to management regarding receivables status.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Medical Receptionist/ medical billing
Dr Felix Guzman MD PA
Miami, FL
03.2022 - Current
Check in and out patient verification of insurance, take phone call, Bill claim to insurance, make sure claims are paid, call insurance's if they haven't paid the claim
As well as communicate to patients when they have any responsibility over the claims
Verified insurance coverage for appointments and collected co-payments as required.
Greeted and checked in patients, updating patient information in computer system.
Performed data entry tasks related to billing and collections procedures.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Processed referrals for specialist care when requested by physicians or patients.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Answered phones promptly and directed calls appropriately.
Maintained supply inventory for office area, ordering items as needed and stocking shelves.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Ordered office supplies as needed to maintain inventory levels.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Assisted with filing of medical records and documents, maintaining accurate electronic files.
Maintained confidentiality of patient information according to HIPAA regulations.
Answered multi-line phone system and directed callers to requested personnel and departments.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Processed patient payments and scanned identification and insurance cards.
Took messages from patients and promptly relayed to appropriate staff.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Informed patients of financial responsibilities prior to rendering services.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Protected patients by observing strict HIPAA guidelines.
Straightened up waiting room to maintain neat and organized space.
Called patients to confirm scheduled appointments and obtain additional details.
Entered insurance, demographics and health history into patient database.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Conducted patient intake interviews to collect medical information and insurance details.
Checked patients in and out for appointments and collected co-payments.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Routed laboratory or diagnostic results to appropriate staff.
Performed bookkeeping duties, preparing and sending financial statements or bills.
Greeted patients, determined purpose of visit and directed to appropriate staff.
Scheduled and confirmed patient appointments and consultations.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Completed relevant insurance and other claim forms.
Front Desk Agent
Seduction Cosmetic Center
Coral Gables, FL
08.2021 - 03.2022
My duties as a front desk agent in seduction are collect the money from the patient, making sure the front desk stay clean and organize great patients when they get to the facility, help with the FMLA papers, create the scheduled for pre-op, make sure the patient get on time to their appointments etc
Some time i cover in post-op or massage section as a front desk also
Monitored security cameras in lobby area as needed.
Inputted guest information into computer system accurately and securely.
Maintained cleanliness of lobby area at all times.
Scheduled reservations for groups and special events.
Provided excellent customer service while upholding company policies.
Ensured that all safety regulations were followed according to company standards.
Verified accuracy of room rates and other charges during check-in process.
Collaborated with colleagues to ensure smooth operations of front desk area.
Provided information about hotel amenities, services, and local attractions.
Managed cash drawer responsibly throughout shift.
Resolved customer complaints promptly and courteously.
Answered phones, responded to inquiries, and took messages.
Stayed current on promotions, discounts, packages, and offers available at the hotel.
Cashier/Customer Service
The Home Depot
Miami, FL
05.2020 - 07.2021
I work at the Home Depot for almost a year now, as a cashier i'am in continuously contact with people helping the with their need and making sure that they feel like at home when are shopping with us
Cashier/Sales Associate
Gap Inc.
Miami, FL
04.2019 - 04.2020
Working as a cashier and sales associate at gap i help costumer given the best of me to make their shopping experience better every day, making sure to always be in constant communications with all the customer that may need help
Cashier/Customer Service
McDonald's
Miami, FL
07.2017 - 05.2019
I work at the Home Depot for almost a year now, as a cashier i'am in continuously contact with people helping the with their need and making sure that they feel like at home when are shopping with us
Education
Pursue a Degree in medical billing and coding. in Medicine -
Online Aapc
Miami, FL
07.2024
High school diploma or GED -
Skills
Cashiering
Customer Service
Food Preparation
Coffee Experience
Cash handling
Supervising experience
Food Service
Sales
Spanish
Bilingual
Typing
Documentation review
Medical Coding
Front Desk
Guest Services
English
Constant Contact
Medical terminology
Medical Receptionist
ICD-10
Medical Records
Insurance Verification
Medical Billing
HIPAA Compliance
Recording batch totals
Batch balances and reports
Overpayment identification
Effective communication skills
Knowledgeable in [Software]
Adjustment reviews
Payment posting
Payment Processing
Accurate data entry
Payment management
Credit and collections
Microsoft Excel
Coding proficiency
Relationship Building
Invoice Preparation
Workauthorization
Authorized to work in the US for any employer
Personal Information
Relocation: Anywhere
Languages
Spanish, Expert
English, Expert
Timeline
Payment Poster
ProMD Practice Management
01.2024 - Current
Medical Receptionist/ medical billing
Dr Felix Guzman MD PA
03.2022 - Current
Front Desk Agent
Seduction Cosmetic Center
08.2021 - 03.2022
Cashier/Customer Service
The Home Depot
05.2020 - 07.2021
Cashier/Sales Associate
Gap Inc.
04.2019 - 04.2020
Cashier/Customer Service
McDonald's
07.2017 - 05.2019
Pursue a Degree in medical billing and coding. in Medicine -