Martha Moreno
Tucson
Summary
Diligent medical biller with extensive knowledge in medical billing processes and healthcare administration. Proven track record of ensuring accurate claim submissions and timely reimbursement. Known for effective communication and problem-solving skills, consistently meeting needs of healthcare providers
Overview
9
9
years of professional experience
Work History
Medical Biller
Retina Associates Southwest PC
07.2024 - 03.2025
- Work from the A/R list following up on claims
- Received calls from patients taking payments or reviewing accounts with patients
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
Mesquite Pediatrics
01.2023 - 06.2024
- Called insurance for follow-ups, the status of claims
- Did corrections and resubmitted to insurance
- When necessary, did reconsiderations and appeals
- Worked on an aging report
- Submitted claims to secondary insurances
Pharmacy Claims Specialist
Concentra St. Mary’s
10.2021 - 10.2022
- Worked on denials appealing claims
- Took calls from employers to receive payment for invoices
- Worked from the rebill report, to resend the claims
- Worked from the aging report, to resend the claims
Medical Records
Pima Pain Center
01.2020 - 08.2021
- Sent authorizations for prescriptions
- Asked for approvals before sending records to pain management
- Sent requested records of patients to the corresponding destination
- Invoiced Lawyers when they requested records of patients
Billing Specialist
Alvernon Optical
12.2018 - 01.2020
- Printed EFT’s/EOB’s to reconcile payments
- Called insurances for claim status
- Billed the insurances
- Stamped incoming billing logs/eye glass files
Data Assistant
Southwest Human Development
07.2016 - 01.2017
- Intake of info parents living in the service areas
- Send weekly reports to Managers and Teachers
- Doing updates in children’s accounts
- Enrolling and terminating children
- Checking the attendance of children
Education
High School -
Nogales High School
Nogales, AZ01.1994
Billing & Coding - undefined
Brookline College
Tucson, AZ01.2015
Bachelor of Arts - Business Administration
University of Phoenix
Nogales, AZ01.2007
Certificate - General Office
Chaparral College
Tucson, AZ01.1995
Skills
- Microsoft Word, Excel, PowerPoint, Publisher, Outlook, Childplus, navigation of internet, general office equipment
- Effectively communicated and interacted with individuals of all levels
- Work well in a high-pressure environment, demonstrated accuracy, attention to detail and in a team and always punctual
- Bilingual in English & Spanish for reading, writing and speaking
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Customer service
- Insurance claims processing
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Medical Biller
Retina Associates Southwest PC
07.2024 - 03.2025
Mesquite Pediatrics
01.2023 - 06.2024
Pharmacy Claims Specialist
Concentra St. Mary’s
10.2021 - 10.2022
Medical Records
Pima Pain Center
01.2020 - 08.2021
Billing Specialist
Alvernon Optical
12.2018 - 01.2020
Data Assistant
Southwest Human Development
07.2016 - 01.2017
Billing & Coding - undefined
Brookline College
Bachelor of Arts - Business Administration
University of Phoenix
Certificate - General Office
Chaparral College
High School -
Nogales High School
Similar Profiles
Crystal WeisCrystal Weis
Medical Biller at Retina Associates/Retina Vitreous Associates PCMedical Biller at Retina Associates/Retina Vitreous Associates PC
KYLA STEMBRIDGEKYLA STEMBRIDGE
Medical Scribe at Retina Associates SouthwestMedical Scribe at Retina Associates Southwest
Erica SedesheErica Sedeshe
Surgical Coordinator at Pennsylvania Retina Specialists PCSurgical Coordinator at Pennsylvania Retina Specialists PC
Marcos HolguinMarcos Holguin
Maintenance Technician 2 at Salvation Army Hospitality HouseMaintenance Technician 2 at Salvation Army Hospitality House
Daniel GibbsDaniel Gibbs
Production Supervisor at Imperial Brown Mfg.Production Supervisor at Imperial Brown Mfg.