Ma.Consuelo Clarete
Clinton,CT
Summary
Accomplished medical billing specialist with strong analytical skills and attention to detail. Experienced in processing insurance claims, managing accounts receivable, and enhancing patient interactions. Committed to ensuring accuracy and efficiency in billing operations.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
11
11
years of professional experience
Work History
Medical Biller
Fairhaven Community
West Haven, CT
11.2022 - 04.2026
- Processed and submitted insurance claims for efficient reimbursement.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Verified insurance of patients to determine eligibility.
- Monitored claim denials and implemented corrective actions to reduce rejections.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Handled account payments and provided information regarding outstanding balances
- Self pay worques,tx inquiry,deferred for days,
- rebilled accounts,failed claims, sending corrected address claims
- Worques Follow up,claim edit and Enter all CPT and ICD 10, EOB
- Posting payment Medicare,Medicaid crossover,secondary insurance, copay/co-insurance and deductible
- Generated monthly billing and posting reports for management review.
- Posting Refund,send letter refund and collection letter
Receptionist
Urgent Care
Branford, CT
09.2021 - 02.2022
- Managed patient check-in and check-out processes efficiently to enhance workflow.
- Scheduled appointments using electronic health record system, optimizing daily operations.
- Provided exceptional customer service, addressing patient inquiries and concerns promptly.
- Maintained organized front desk area, ensuring a welcoming environment for patients.
- Answered phone promptly and directed incoming calls to correct offices.
- Confirmed appointments, communicated with clients, and updated client records.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Reduced waiting times for visitors by implementing more efficient check-in process.
- Operated multi-line telephone system to answer and direct high volume of calls.
- Helped office staff prepare reports and presentations for internal or client-related use.
Chiropractic Office Assistant
Receptionist
Clinton, CT
08.2018 - 07.2020
- Managed patient scheduling and appointment reminders to optimize office flow.
- Assisted in maintaining accurate patient records using electronic health record systems.
- Improved patient satisfaction by providing efficient scheduling and appointment coordination.
- Assisted chiropractors in delivering quality care through thorough patient record-keeping and documentation.
- Coordinated insurance verification processes, ensuring compliance with policy requirements.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Processed medical insurance claims and payments.
- Assisted with medical coding and billing tasks.
Accounts Receivable Clerk/Medical Biller
Med Options
Old Lyme, CT
06.2015 - 05.2018
- Processed high volumes of invoices and payments to ensure timely collections.
- Reconciled customer accounts, resolving discrepancies efficiently to maintain accuracy.
- Managed aging reports to prioritize collections and mitigate overdue accounts.
- Collaborated with sales and customer service teams to address billing inquiries promptly.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Made outbound calls to vendors and customers to discuss and resolve account needs.
- Decreased uncollectible debt by closely monitoring accounts and promptly identifying high-risk customers for management review.
- Supported cash forecasting initiatives by providing accurate data on outstanding receivables and expected payments from clients.
- Followed up overdue payments and payment plans from clients to establish good cash flow.
Education
Medical Billing - Medical Career Training Center
Manhattan Management
New York, NY08-2011
Dialysis Tech Course -
Manhattan Institute
New York, NY11-2008
Medical Assistant -
Universal Medical Career Training Center
New York, NY04-2002
Skills
- Insurance verification
- Customer service
- Medicare and medicaid process
- Denial management
- Patient account analysis
- Collections management
- Payment collection
- Billing and collection procedures
- Accounts receivable
- Payment posting
- ICD-10 proficiency
- Multitasking and organization
- Accounts receivable management
- Data analysis
- Critical thinking
- Medical terminology
Timeline
Medical Biller
Fairhaven Community
11.2022 - 04.2026
Receptionist
Urgent Care
09.2021 - 02.2022
Chiropractic Office Assistant
Receptionist
08.2018 - 07.2020
Accounts Receivable Clerk/Medical Biller
Med Options
06.2015 - 05.2018
Medical Billing - Medical Career Training Center
Manhattan Management
Dialysis Tech Course -
Manhattan Institute
Medical Assistant -
Universal Medical Career Training Center