Marcella Hernandez

• Processed medical claims accurately within established timeframes.
• Utilized billing software to ensure compliance with industry standards.
• Assisted in resolving discrepancies related to claims.
• Communicated effectively with management regarding billing issues
• Adapted quickly to changes in billing regulations and procedures.
• Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
• Collaborated with management and team members to improve billing workflow efficiency.
• Maintained organized records of patient information and billing documentation.
• Supported training initiatives for new team members on billing practices.
• Maintained HIPAA compliance while managing confidential patient data, enhancing security measures for sensitive information.
• Stayed current with industry regulations, with online education courses to continually update knowledge on coding guidelines and best practices.

Review of patients accounts that may require combined billing based on payer payment window rules

Combining of charges from one or more accounts to one account.

Requesting updated coding for the combined account.

Updating patient financial systems based on updated coding.

Add notification to PDR and PT Access Teams when combing IP to IP accounts that affect Pt Day Recon.

• Assisted in resolving discrepancies related to patient accounts and claims.
• Communicated effectively with management regarding issues
• Collaborated with management and team members to improve billing workflow efficiency.
• Managed a high volume of medical claims by prioritizing tasks based on due dates and urgency, preventing delays in processing.
• Processed medical claims accurately within established timeframes.
• Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
• Stayed current with industry regulations, attending seminars and workshops to continually update knowledge on coding guidelines and best practices.
• Utilized billing software to ensure compliance with industry standards.