Maria Estupinan
Las Vegas,NV
Summary
Logical Medical Biller proudly offers over 13 years of experience reviewing accounts and maintaining patient records. Driven professional with background in medical terminology and coding. Recognized task prioritization expertise in fast-paced environments.
Overview
18
18
years of professional experience
Work History
Medical Biller
Giexcellence
Las Vegas, NV
02.2015 - Current
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Submitted electronic claims to various insurance carriers.
Prior Authorization Specialist
Giexcellence
Las Vegas, NV
08.2010 - Current
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Coordinated with other departments to obtain additional information needed for prior authorization.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Researched clinical criteria and determined eligibility for requested services based on plan provisions.
Medical Biller
Gastronenterology Associates
Las Vegas, NV
02.2006 - 03.2010
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Generated reports in order to track payments due from insurance companies or other third party payers.
Education
Associate of Science - Medical Insurance Billing
High Tech Institute
06-2006
Skills
- Chart Auditing
- Teamwork and Collaboration
- Clerical Support
- Account Reconciliation
- Multitasking and Organization
- Claims Review
- Commercial and Private Insurance
- Claims Processing
- Billing and Collection Procedures
- HIPAA Compliance Certification
- Electronic Health Record Software
Languages
English
Professional
Spanish
Professional
References
References available upon request.
Timeline
Medical Biller
Giexcellence
02.2015 - Current
Prior Authorization Specialist
Giexcellence
08.2010 - Current
Medical Biller
Gastronenterology Associates
02.2006 - 03.2010
Associate of Science - Medical Insurance Billing
High Tech Institute