Summary
Overview
Work History
Education
Skills
LANGUAGES
Timeline
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Marlene Avilez

Perris,CA

Summary

Dedicated medical biller and collector with 6 years of experience in the medical billing industry. Expertise spans multiple specialties, including physical therapy, family practices, and behavioral health. Proven track record of ensuring accurate billing and timely collections, contributing to improved revenue cycles.

Overview

6
6
years of professional experience

Work History

AR Collector

Aurora Behavioral Healthcare
06.2022 - 09.2025
  • Produced daily Billing Batch Report using AIS software for operational oversight. Reviewed and approved claims within billing queue for efficient workflow. Updated accounts receivable notes for effective weekly meeting preparation. Verified authorizations and assessed claim statuses regularly. Secured payments from Managed Care Payers through proactive collection efforts. Challenged incorrect claim denials through formal appeals process. Conducted follow-ups on appeals to track progress and outcomes. Engaged with Payers regarding EOB denials, underpayments, and available credits.

Billing Specialist

Rancho Family Medical Group
03.2021 - 03.2022
  • Ensured clean claim submission through thorough review of medical documentation and billing guidelines. Verified patient insurance eligibility and processed payments to enhance revenue cycle efficiency. Responded to patient billing questions to improve satisfaction and transparency. Requested necessary authorizations for medical procedures to streamline operations.

Billing Lead

Accelerated Rev. Management
07.2019 - 03.2021
  • Ensured correct entry of patient insurance data in billing software. Applied necessary modifiers to claims prior to billing submission. Cleared clearinghouse errors to enhance claim processing efficiency. Conducted routine monitoring of held claims for timely follow-up. Communicated effectively with clinical staff to support operational needs. Produced month-end reports for insights during monthly meetings. Supervised three billers, responding to questions and facilitating training. Reviewed accounts for accuracy and regulatory compliance.

Education

Medical Billing/Coding - undefined

American Career College
Ontario, CA
01.2019

HS Diploma - undefined

Citrus Hill High School
Perris, CA
05.2011

Skills

  • Medical terminology expertise
  • Managed care billing guidelines
  • CPT, HCPCS, and ICD-10 coding
  • Online clearinghouse submissions
  • Time management skills
  • Verbal and written communication
  • Revenue cycle knowledge
  • Behavioral health facility billing

LANGUAGES

English
Spanish

Timeline

AR Collector

Aurora Behavioral Healthcare
06.2022 - 09.2025

Billing Specialist

Rancho Family Medical Group
03.2021 - 03.2022

Billing Lead

Accelerated Rev. Management
07.2019 - 03.2021

Medical Billing/Coding - undefined

American Career College

HS Diploma - undefined

Citrus Hill High School

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