MANUEL MORA GARCIA
Miami,Florida
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Miami Beach Urgent Care
10.2022 - 03.2024
- Communicated with insurance companies to research and resolved coding discrepancies.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Generated and maintained statistical data related to medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Scanned and uploaded medical records into electronic medical records system.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Input data into computer programs and filing systems.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Front Desk Receptionist
Miami Beach Urgent Care
04.2021 - 06.2022
- Confirmed appointments, communicated with clients, and updated client records.
- Collected and distributed messages to team members and managers to support open communication and high customer service.
- Scheduled, coordinated and confirmed appointments and meetings.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Routed incoming mail and messages to relevant personnel without delay.
- Scheduled appointments accurately using reservation software, reducing conflicts or doublebookings.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
Education
CPC, CPB, AAPC, Medical Billing And Coding Program - Medical Billing And Coding
La Universidad Nacional De Ciencias Médicas
5818 SW 8th St, West Miami, FL 3314403.2023
Graduated in Comprehensive General Medicine -
La Universidad Nacional De Ciencias Médicas
Havana, Cuba01.2021
Skills
- Proficient in computer skills (Microsoft Office and QuickBooks)
- ICD-10-CM, CPT and HCPCS coding
- Medical Terminology, Anatomy
- Assisting patients in understanding procedures and treatments
- Scheduling appointments, answering phone calls, hospital admissions and referrals
- Taking patient Medical histories
- Electronic Health record (EHR) system experience
- Protected Health Information
- Heartsaver First Aid CPR AED (First Aid CPR AED)
- Doctor Communication
- Patient Data Coding
- Documentation oversight
- Patient Rights
References
- Maykel Rubio Sierra, General Manager, The Claremont Hampton, Miami Beach, (786) 339-5661
- Jennifer Silva, General Manager, Wilde on the Porch restaurant, Miami Beach, (305) 546-9610
Certification
- CPC - Certified Professional Coder
- CPB - Certified Professional Biller
- AAPC
- Medical Billing and Coder Certification, Florida Education Institute
Timeline
Medical Biller and Coder
Miami Beach Urgent Care
10.2022 - 03.2024
Front Desk Receptionist
Miami Beach Urgent Care
04.2021 - 06.2022
CPC, CPB, AAPC, Medical Billing And Coding Program - Medical Billing And Coding
La Universidad Nacional De Ciencias Médicas
Graduated in Comprehensive General Medicine -
La Universidad Nacional De Ciencias Médicas
- CPC - Certified Professional Coder
- CPB - Certified Professional Biller
- AAPC
- Medical Billing and Coder Certification, Florida Education Institute
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