MARIA CASTILLO
Palmdale,CA
Summary
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Synergistics LLC
11.2020 - Current
- Followed up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment
- Utilized electronic health record (EHR) systems and specialized software for accurate data entry and claim processing
- Managed accounts receivable by tracking outstanding balances, following up on overdue payments, and resolving discrepancies
- Researched and resolved billing discrepancies or issues in a timely manner
- Collaborated with healthcare providers to obtain necessary documentation for claim submission
- Verified patient information, including demographics and insurance coverage, to ensure proper billing procedures
- Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines
Follow-up Representative
Physician's Choice
03.2017 - 10.2020
- Processed medical claims and invoices for a high-volume healthcare facility, ensuring accuracy and adherence to billing guidelines
- Verified patient insurance coverage and obtained necessary authorizations for medical procedures
- Reviewed and corrected coding errors on claims to maximize reimbursement from insurance companies
- Utilized electronic health record (EHR) systems to input patient information, update billing records, and generate reports
- Followed up with insurance companies regarding claim denials or discrepancies, resolving issues in a timely manner
- Maintained strict confidentiality of patient information in compliance with HIPAA regulations
- Managed accounts receivable by tracking outstanding payments, contacting patients for payment arrangements, and initiating collections when necessary
- Developed strong relationships with insurance company representatives to facilitate smooth claims processing and resolve any disputes or delays
Medical Office Coordinator
Essential Orthotics and Prosthetics
05.2015 - 03.2020
- Managed the front desk operations of a busy medical office, including scheduling appointments, answering phone calls, and greeting patients
- Coordinated patient check-in process, verifying insurance information and collecting necessary paperwork to ensure accurate billing and smooth workflow
- Maintained organized filing system for patient records, adhering to HIPAA regulations and facilitating easy retrieval of information
- Assisted in the preparation of medical reports, correspondence, and other documents as required by physicians or administrators
- Managed inventory of office supplies and equipment, placing orders when necessary to maintain adequate stock levels
- Provided exceptional customer service to patients by addressing inquiries or concerns promptly and professionally
- Trained new staff members on office procedures, policies, and software systems to ensure smooth onboarding process
- Performed data entry tasks accurately and efficiently while maintaining confidentiality of sensitive patient information
- Collaborated with billing department to resolve any discrepancies or issues related to insurance claims or patient billing statements
- Assisted in managing physician schedules by coordinating appointments based on availability and urgency of cases
- Participated in quality improvement initiatives aimed at enhancing overall patient experience within the medical practice
- Managed patient referrals to specialists, ensuring all necessary documentation and test results were provided in a timely manner
- Assisted in the coordination of staff meetings, taking minutes and distributing relevant information to team members
- Maintained confidentiality of patient records and followed proper protocols when handling sensitive information
- Collaborated with other departments within the medical practice to ensure smooth workflow and effective communication
- Served as a point of contact for patients experiencing issues or concerns during their visit, resolving problems promptly and effectively
- Monitored inventory levels of medical supplies, ordering new stock as needed while minimizing waste
- Managed patient appointment cancellations or rescheduling requests, optimizing scheduling efficiency while accommodating patient needs
Education
Bachelor's degree - Healthcare Administration
West Coast University
07.2023
Associate's degree - Health Administration
UAV
Lancaster, CA09.2016
Skills
- Medical Billing
- CPT Coding
- Records Management
- Medical Office Experience
- Documentation Review
- ICD-10
- Anatomy Knowledge
- Employee Orientation
- Insurance Verification
- Medical Scheduling
- Accounts Receivable
- HIPAA
- Medical Receptionist
- EMR Systems
- Medical Coding
- Medical Terminology
- Data Entry
- Epic
- Phone Etiquette
- ICD Coding
- ICD-9
- Medical Records
Certification
Medical Coding Certification
Languages
Spanish
Professional Working
Timeline
Medical Billing Specialist
Synergistics LLC
11.2020 - Current
Follow-up Representative
Physician's Choice
03.2017 - 10.2020
Medical Office Coordinator
Essential Orthotics and Prosthetics
05.2015 - 03.2020
Associate's degree - Health Administration
UAV
Bachelor's degree - Healthcare Administration
West Coast University
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