MARTHA CALDERON
Hawthorne,CA
Summary
Meticulous Medical Billing Specialist offering 11.5 years of comprehensive experience in the medical field. Comfortable working independently or as part of supportive team. Extensive familiarity with Ms Office, Excel, Office Ally, insurance portals including Medicare. Core competencies include keen eye for detail and I am well versed in ICD-10 and Cpt codes.
Overview
12
12
years of professional experience
Work History
Billing Specialist
Beverly Hills Dermatology Consultants
Beverly Hills, CA
08.2012 - 02.2024
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Maintained accurate records of collections, adjustments and denials in the system.
- Processed credit card transactions
- Generated periodic reports summarizing account balances and collection activities.
- Worked closely with patients to discuss payment arrangements when needed.
- Assisted in developing strategies for improving collections processes.
- Provided support to other departments within the organization as needed.
- Developed financial reports detailing accounts receivable aging status.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Investigated and resolved issues to maintain billing accuracy.
- Input payment history and other financial data to keep customer accounts up-to-date in system.
- Completed billing audits in identified timeframes to report and investigate findings.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Collected, posted and managed patient account payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Input statement information, reconciled accounts and resolved discrepancies.
- Generated and distributed month-end statements for patients and resolved related concerns.
Education
Medical Coder & Billing - Medical Billing
Nova Institute of Medicine
Los Angeles, CA09-2001
Some College (No Degree) - Economics
Santa Monica College
Santa Monica, CASkills
- Medical Billing and Collections
- Coding
- Aging Reports
- Invoice Processing
- Payment posting
- Claims Processing
- Billing dispute resolution
- Insurance Verification
- HIPAA Compliance
- Audit Procedures
- Account Reconciliation
- Inquiry Handling
- Financial Transactions
- Billing statement management
Languages
Spanish
Professional
Timeline
Billing Specialist
Beverly Hills Dermatology Consultants
08.2012 - 02.2024
Medical Coder & Billing - Medical Billing
Nova Institute of Medicine
Some College (No Degree) - Economics
Santa Monica College
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