Maribel Manuel
203 Smith St Sanger,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
5
5
years of professional experience
Work History
Claims Specialist
Continuum
12.2022 - 09.2023
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Properly coding services, procedure's, diagnoses and treatment for outpatient and inpatient
- Knowledge in computer systems and medical software
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assisted with filing appeals on denied claims with insurance companies.
Billing Specialist
Smile Magic Dental
10.2018 - 11.2022
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Completed billing audits in identified timeframes to report and investigate findings.
- Submitted claims to insurance companies.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Education
Diploma -
Denton High School
Denton, TX2015
Skills
- Compliance Management
- Documentation Review
- Settlement Determinations
- Claims
- Data Entry
- Claim Amount Calculations
Timeline
Claims Specialist
Continuum
12.2022 - 09.2023
Billing Specialist
Smile Magic Dental
10.2018 - 11.2022
Diploma -
Denton High School