Mayra Fazio
New Milford,US
Summary
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Clinical Administrative Coordinator
UHC/OPTUM
12.2022 - Current
- Receive and handle high volume of inbound and outbound member calls
- Ensures documentation in EMR utilized by HouseCalls Practitioners is up to date and accurate prior to the visit to assist with a smooth and engaging yearly visit
- Completely and accurately document in patient's electronic medical record
- Demonstrates a clam, organized and courteous demeanor telephonically to members and Practitioners
- Work on the phone and multiple systems on the computer simultaneously while assisting members
- Exhibit independent judgment with ability to consult and engage with other team members for improved patient outcomes
Medical Biller and Coder Internship
RevFlo Inc
06.2023 - 11.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Used data entry skills to accurately document and input statements.
- Scanned and uploaded medical records into electronic medical records system.
Trainee Medical Coder
Paramount Therapy
01.2023 - 06.2023
- Communicated with insurance companies to research and resolved coding discrepancies.
- Correctly coded and billed medical claims
- Generated reports to identify coding trends and discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
NURSING SCHEDULER, ADMIN SUPPORT
Laurel Ridge Health Care Center
12.2012 - 09.2017
- Provide up to date attendance detail for employees, maintaining a master schedule, forwarding open position information to the HR department
- Oversight for recruitment purposes, maintained an accurate daily schedule with all edits and updates entered, strictly managing overtime and bonus costs
- Initiated and approved temporary staffing contracts and integrated personnel into schedules to fill coverage gaps.
- Filled staffing vacancies and developed schedules to guarantee sufficient shift coverage.
- Maintained accurate attendance records and assisted with disciplinary processes in cases of excessive absences or tardiness.
- Performed various administrative tasks by filing, copying and faxing documents.
Education
Bachelor of Science - HealthCare Administration
Goodwin University
05.2025
Associate of Arts - Health Care Administartion
University of Phoenix
05.2014
Skills
- Workforce management
- RightFax Software
- Enterprise Software
- Electronic Medical Records
- Claims processing
- Insurance verification
- Microsoft Word
- Microsoft Outlook
- Microsoft Excel
- Diagnostic Codes
- CPT Code Modifiers
- ICD-10 Requirements
- Bilingual (Fluent in Spanish)
Certification
- CPC - Certified Professional Coder
Timeline
Medical Biller and Coder Internship
RevFlo Inc
06.2023 - 11.2023
Trainee Medical Coder
Paramount Therapy
01.2023 - 06.2023
Senior Clinical Administrative Coordinator
UHC/OPTUM
12.2022 - Current
NURSING SCHEDULER, ADMIN SUPPORT
Laurel Ridge Health Care Center
12.2012 - 09.2017
Bachelor of Science - HealthCare Administration
Goodwin University
Associate of Arts - Health Care Administartion
University of Phoenix
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