Martha Rocha
San Antonio,TX
Summary
Hardworking Medical Billing Specialist with 16 years of experience addressing patient requests and concerns. Expert at providing relevant information and options to effectively resolve issues. Upbeat and energetic with grace in handling difficult situations through resourcefulness and adaptability.
Overview
13
13
years of professional experience
Work History
Medical Billing and Collections Specialist
Arrhythmia Associates Of South Texas
San Antonio, Texas
04.2020 - Current
- Increased customer satisfaction by resolving patient billing issues.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Trained new employees on multiple medical billing programs and data entry software.
- Developed clinic processes for nursing staff and front desk reception.
- Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
- Devised new methods to make workflows more efficient and brought suggestions to attention of Management.
- Transferred balances to patients and insurance companies
- Maintained current accounts through aged revenue reporting.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Posted charges for seven doctors in electrophysiology clinic.
- Completed clerical duties and tasks for clinic administration.
- Provided ample support to team members, providing creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Promptly answered multi-line phone system and greeted callers enthusiastically.
Medical Reimbursement Specialist
Universal Physicians Management Service
San Antonio, Texas
08.2013 - 04.2016
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Audited patient charts and flagged incomplete or inaccurate information.
- Processed payments and applied to customer balances.
- Maintained high volume of calls to meet demands of busy group.
- Collected documents and made portfolios for collections accounts.
- Reviewed accounts for 16 Physicians to ensure accurate reimbursement
- Responsible for submitting appeals and corrected claims online using the payer websites or via mail.
- Identified payer issues affecting payment delays and resolving these issues accordingly.
- Identified problem delinquencies and recommended solutions to our Physicians.
Medical Billing Specialist
Vanguard/Baptist Health System
San Antonio, Texas
11.2012 - 08.2013
- Located errors and promptly refiled rejected claims.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Accurately posted and sent out all medical claims.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely evaluated and verified benefits and eligibility.
- Adhered to established standards to safeguard all patients' health information.
- Posted payments and collections on regular basis.
Biller/Collector
Baptist Specialty Network/HAVIT
San Antonio, Texas
01.2011 - 11.2012
- Processed billing for 12 cardiologists which involved checking eligibility, then entered charges.
- Verified that correct ICD 9 and CPT codes were being used by provider.
- Worked with insurance carriers on daily basis to ensure payment.
- Identified and resolved any and all outstanding issues preventing claims resolution.
- Assisted patients over the phone and in person with balance inquiries.
- Met department goals on a monthly basis reduce A/R days.
Education
High School Diploma -
Sidney Lanier High School
San Antonio, Tx05.1997
Certified Medical Billing And Coding Specialist -
New Horizons Computer Learning Center
San Antonio, TX05.2013
Associate of Arts - Business Administration And Management
St. Phillips Community College
San Antonio, TxSkills
- Aging reports analysis
- Accurate payment posting
- Problem resolution
- Process improvement
- Attention to detail
- Clear communication skills
- Excellent inter/intrapersonal skills
- Empathetic
- Time Management
- Self starter
- Eager to learn
- Ability to work in fast paced environment
- Computer skills (Microsoft Word, Excel, Power point)
- Excellent Verbal/Written Skills
Timeline
Medical Billing and Collections Specialist
Arrhythmia Associates Of South Texas
04.2020 - Current
Medical Reimbursement Specialist
Universal Physicians Management Service
08.2013 - 04.2016
Medical Billing Specialist
Vanguard/Baptist Health System
11.2012 - 08.2013
Biller/Collector
Baptist Specialty Network/HAVIT
01.2011 - 11.2012
High School Diploma -
Sidney Lanier High School
Certified Medical Billing And Coding Specialist -
New Horizons Computer Learning Center
Associate of Arts - Business Administration And Management
St. Phillips Community College
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