Summary
Overview
Work History
Education
Skills
Certification
Volunteer Experience
References
Timeline
Generic

MARINEL FERRER

Naperville,IL

Summary

Experienced Reimbursement Specialist ensuring accurate coding and abstraction of medical records in compliance with regulations. Highly efficient, organized and detail-oriented with excellent communication skills and self-motivation.

Overview

5
5
years of professional experience
1
1
Certification

Work History

CODING REIMBURSEMENT SPECIALIST

EDWARDS HOSPITAL CORPORATE CENTER
WARRENVILLE, IL
04.2022 - Current
  • Maintained precision in assigning ICD-10-CM-PCS and/or CPT diagnostic and procedure codes to patient charts.
  • Proficient in managing and optimizing Computer Assisted Coding systems.
  • Maintained high accuracy levels of 97% and above.
  • Experienced in performing endoscopy procedures and handling RCRs.
  • Reviewed medical records to identify appropriate codes for billing purposes.
  • Collaborated with other departments to resolve coding issues or discrepancies.
  • Participated in training sessions on current updates in the field of medical coding.
  • Determined medical necessity, using individual insurance carrier regulations.
  • Maintained confidentiality and integrity of patient data.
  • Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
  • Performed chart abstraction activities including review of lab results, operative reports, discharge summaries.

MEDICAL BILLER AND CODER

SUPERIOR AIR-GROUND AMBULANCE
ELMHURST, IL
10.2021 - 04.2022
  • Ensured accuracy of insurance verification by cross-checking multiple databases.
  • Verified insurance information and confirmed accurate demographic name spellings by making telephone calls to patients.
  • Accurately documented each ambulance trip by coding with ICD-10-CM Codes
  • Used telephone communication skills to call hospitals or facilities and obtain the licensed professional title on PCS.
  • Submitted claims to insurance companies electronically or by mail.
  • Provided customer service support to patients regarding billing inquiries.
  • Ensured timely filing of all claims within established guidelines.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Developed an understanding of how various insurance plans process claims for reimbursement purposes.
  • Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.

PATIENT SERVICE REPRESENTATIVE

ADVOCATE MEDICAL GROUP
DOWNERS GROVE, IL
09.2020 - 10.2021
  • Effectively managed appointment scheduling and gathered essential patient data.
  • Handled visitor greetings and directions with professionalism, creating a pleasant environment.
  • Maintained cleanliness and organization of reception area.
  • Efficiently managed high volume of phone inquiries and ensured precise call transfers to designated staff.
  • Ensured proper completion of paperwork before patient appointments
  • Maintained accurate records by inputting patient demographic data into electronic health record system.
  • Processed referrals from primary care physicians to specialists for further treatment or evaluation.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Provided customer service by answering patient questions and addressing concerns.
  • Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
  • Answered incoming calls in a professional manner.
  • Performed administrative duties such as filing, faxing, photocopying.
  • Scanned documents into electronic health record system as needed.
  • Verified insurance information, collected payments, and scheduled appointments.
  • Sorted and distributed incoming mail daily.
  • Ran credit card batches and balanced deposits on daily basis.
  • Provided helpful assistance by anticipating and responding to needs of patients and family members.
  • Obtained proper authorization and identification to release confidential medical records.
  • Participated in training sessions to stay updated on healthcare policies and registration software.
  • Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.

FRONT DESK RECEPTIONIST

CHICAGO CARDIOLOGY INSTITUTE
SCHAUMBERG, IL
02.2020 - 05.2020
  • Demonstrated strong customer service skills by efficiently managing high call volumes.
  • Consistently achieved over 60 weekly appointments.
  • Ensured accuracy of patient demographic records.
  • Managed collection of co-payments and performed basic insurance verification.
  • Greeted customers warmly and made them feel welcome.
  • Verified identity documents for new customers before opening accounts in accordance with company policies.
  • Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
  • Handled cash transactions accurately, balancing the register at the end of each shift.
  • Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.
  • Handled sensitive information in a confidential manner.
  • Maintained an organized reception area and ensured that all guests were attended to promptly.
  • Resolved any customer complaints or issues in a timely fashion following established protocols.
  • Protected clients' rights by maintaining confidentiality of personal and financial information.

Education

Bachelors in Health Information Management -

UNIVERSITY OF ILLINOIS AT CHICAGO
CHICAGO, IL
05.2023

Associates in Applied Science -

COLLEGE OF DUPAGE
GLEN ELLYN, IL
05.2021

Certified Nurse Assistant -

PCCTI
OAKBROOK, IL
07.2013

Associates in General Arts Degree -

COLLEGE OF DUPAGE
GLEN ELLYN, IL
05.2013

Skills

  • Electronic Medical Records Management
  • Customer Service
  • Analysis and Critical thinking
  • Medical Terminology
  • Microsoft Office
  • Communication and interpersonal skills
  • Anatomy and physiology understanding
  • Revenue Cycle Management
  • HIPAA Compliance
  • Clinical Documentation
  • Data Entry
  • Ethical standards
  • Proficiency in EPIC
  • Teamwork
  • Multi-tasker
  • Time management

Certification

  • Register Health Information Administrator, 03/01/24
  • Registered Health Information Technician, 07/01/21
  • Acute Healthcare Coding, 08/01/19
  • Ambulatory Coding, 05/01/19
  • Certified Nurse Assistant, 05/01/11

Volunteer Experience

Good Samaritan Hospital, Downers Grove, IL, 05/01/17, 05/01/19

Outpatient Lab & Surgical Care Unit

Responsible for checking in patients and guiding them to their room and explaining which members of the healthcare team will be assisting them, labeling cultures, filing papers and making medical packs, patient rounding to see how the patients experience has been with the staff

References

References upon request

Timeline

CODING REIMBURSEMENT SPECIALIST

EDWARDS HOSPITAL CORPORATE CENTER
04.2022 - Current

MEDICAL BILLER AND CODER

SUPERIOR AIR-GROUND AMBULANCE
10.2021 - 04.2022

PATIENT SERVICE REPRESENTATIVE

ADVOCATE MEDICAL GROUP
09.2020 - 10.2021

FRONT DESK RECEPTIONIST

CHICAGO CARDIOLOGY INSTITUTE
02.2020 - 05.2020

Bachelors in Health Information Management -

UNIVERSITY OF ILLINOIS AT CHICAGO

Associates in Applied Science -

COLLEGE OF DUPAGE

Certified Nurse Assistant -

PCCTI

Associates in General Arts Degree -

COLLEGE OF DUPAGE

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