Organized Medical Biller thoroughly versed in medical billing and HIPAA requirements. Personable professional with 11 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
16
16
years of professional experience
Work History
Medical Biller Specialist
US Lab Inc.
Costa Mesa, United States
04.2012 - 07.2023
Managed a fully remote position
Collected patient's personal and insurance details
Reviewed and validated claims for accuracy, ensuring correct dates of service, services provided, location, patient identification, and provider signature.
Ensured accuracy and promptness in data entry
Managed claim document questions by providing problem-solving assistance or escalating when necessary
Implemented process to ensure completeness of claim documents before billing insurance companies
Input data and maintain updated records in various programs and databases
Created and submitted documentation to support verbal and written provider claims.
Managed documentation for verbal, written, and expedited complaints from both members and providers
Downloaded scripts from operations through Sharefile and prepared them for billing
Implemented quality control procedures and met strict timeframes for cross-checking and ensuring high-quality work
Engaged in productive collaboration with healthcare professionals to gather essential documentation for billing processes.
Staying current with government policies, billing regulations, and guidelines
Assisted in implementing new billing system (Raintree Billing System) under department supervisor's guidance.
Created Excel-based reports to track and report billing data, enhancing process efficiency
Ensured 100% data accuracy while entering up to 100 claims per day.
Submitted CMS-1500 Forms accurately and on time.
Attorney Assistant
L. Bishop Austin & Associate
Los Angeles, United States
10.2009 - 11.2011
Scheduled and confirmed appointments effectively
Reviewed and updated intricate Chapter 13, 7, and some 11 plans for clients in bankruptcy across various jurisdictions.
Participated in 341(a) meetings with debtors and assisted attorneys during court dockets
Prepared and filed relief orders with Bankruptcy Courts using e-file system
Addressed customer inquiries related to bankruptcy cases via incoming calls
Produced court documents, invoices, and enclosures as per attorneys' instructions
Prepared debtors for testimony at court hearings
Provided support to clients by assisting with bankruptcy certificate filing using computer and phone.
Sorted and routed incoming departmental mail and prepared outgoing mail.
Provided translation services to support attorneys and clients
Sales Associate/Customer Services
Living Spaces
La Mirada, United States
01.2008 - 10.2009
Greeted customers upon entry, aiming to understand unique needs and preferences.
Effectively delivered products based on customers' specifications and requirements while managing costs.
Maintained a clean and inviting showroom and work area to attract and retain customers
Successfully drove sales through the identification of high-quality customers
Proficiently operated cash register
Stay updated with latest information on product pricing and local competition.
Demonstrated expertise in vendors' products, pricing, and finish details.
Effectively communicate with customers to provide regular updates and notifications regarding their orders; consistently document relevant information in the customer sales system.
Counted cash at the start and end of shifts to balance cash drawer
Scheduled customers' deliveries and addressed inquiries via phone, ensuring timely response to delivery, product, and pricing queries.
Ensured customer satisfaction by promptly resolving any arising issues
Provided customers with information on exclusive payment choices
Assisted with optimizing the furniture department's operations, managing sales and refunds, merchandising and signing efforts, as well as merchandise receiving.
Education
Medical Assistant -
Everest College
City of Industry, CA
High School Diploma -
Whittier High School
Whittier, CA
Skills
Skilled in Research
Data Analysis and Reporting
Detail-oriented
Knowledgeable in Microsoft word, Excel, Outlook and Internet applications with ability to learn new systems
Resourceful in solving problems and maximizing resources
An active listener and ability to work with groups or independently
Multitasking and Organization
Excellent Data Entry Skills
Documentation Oversight
Workers' Compensation, Personal Injury, Medicare, Medicaid, and Private Insurance Claims
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