Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Linda Orbach

Summary

Dedicated and highly skilled Medical Biller with extensive experience in medical coding, billing, and reimbursement procedures. Proficient in regulatory compliance, software usage, and revenue cycle management, ensuring accuracy and efficiency in claims processing. Seeking a challenging role to leverage my expertise in optimizing billing operations while adhering to healthcare regulations.

Overview

11
11
years of professional experience

Work History

ACCOUNT SPECIALIST

Xifin
12.2023 - 08.2024
  • Medical billing for sixteen Honor Health locations
  • Verified patients eligibility in AHCCCS, and all commercial insurance portals
  • Research reason of denials
  • Created appeals letters with correct claims, EOB'S and radiology reports
  • Working from queue in Imagine Medical software.

BILLING SPECIALIST

Advanced Diagnostic Group/ Akumin
04.2016 - 12.2023
  • Medical billing and coding for twenty clinics
  • PIP: for auto accidents
  • Health Insurance: All commercial, Medicare and Medicaid
  • Worker Compensation
  • Attorney Slip and Fall
  • Demonstrates in-depth knowledge of medical coding, utilizing ICD-10, CPT, and HCPCS codes to accurately document medical services for billing
  • Ensures regulatory compliance by effectively navigating HIPAA, Medicare, and Medicaid guidelines, minimizing compliance risks
  • Utilizes various medical billing software and electronic health records (EHR) systems to streamline claims processing and increase efficiency
  • Maintains a strong attention to detail, reducing billing errors and claim rejections, resulting in improved reimbursement rates
  • Exhibits exceptional communication skills when liaising with healthcare providers, insurers, and patients to resolve billing inquiries and disputes
  • Proficiently handles billing issues, resolves denied claims, and optimizes reimbursement processes through proactive problem-solving
  • Provides exemplary customer service to patients and healthcare providers, addressing billing concerns with professionalism and empathy
  • Uses time management skills to efficiently manage multiple tasks and meet deadlines in a fast-paced healthcare environment.

MEDICAL BILLER

MARICOPA INTEGRATED HEALTH SYSTEM
09.2014 - 03.2015
  • Edited accounts for ACCCHS patients in Epic system
  • Researched rejected accounts in Epic and claims management system
  • Maintained knowledge of all government and commercial contracts
  • Insurance verification and authorization for AHCCCS and commercial
  • Electronic and paper submissions of claims.

MEDICARE D OPERATIONS

CVS/CAREMARK
03.2013 - 04.2014
  • Created statement letters for Silver Scripts Medical D members
  • Entered in Social Security deductions for Silver Scripts Medical D member's
  • Printed of invoice
  • Researched and resolved member's premium payments utilizing: People Safe: CVS/ Caremark Member's database CMS: Government Medicare and Medicaid database, Citrix TriZetto: CVS/Caremark database, IBM Filenet: View of payments, EOB'S and invoices and Valencia: Verified Medical D member's information and SAP: Brought analytics and transactions together into a single real-time platform.

Education

TUSTIN HIGH SCHOOL
Tustin, CA

Skills

  • Microsoft Office proficiency
  • Billing resolutions
  • Medicare and Medicaid process
  • Claim submission
  • HIPAA Compliance
  • Insurance Verification
  • Patient Billing
  • Claims Processing
  • Claims review

Personal Information

Title: Medical Billing Specialist

Timeline

ACCOUNT SPECIALIST

Xifin
12.2023 - 08.2024

BILLING SPECIALIST

Advanced Diagnostic Group/ Akumin
04.2016 - 12.2023

MEDICAL BILLER

MARICOPA INTEGRATED HEALTH SYSTEM
09.2014 - 03.2015

MEDICARE D OPERATIONS

CVS/CAREMARK
03.2013 - 04.2014

TUSTIN HIGH SCHOOL

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Linda Orbach