Medical billing and coding professional with extensive experience in healthcare administration. Proven expertise in accurately processing claims, ensuring compliance with regulations, and maintaining detailed patient records. Highly collaborative team member focused on achieving results and adapting to changing needs.
Overview
15
15
years of professional experience
Work History
Medical Biller and Coder
Alliance In Health In Diabetes Wellness & Prevention Center
McAllen, TX
02.2026 - Current
Processed and submitted insurance claims using advanced billing software.
Ensured accuracy of patient records and coding to comply with industry standards.
Collaborated with healthcare providers to resolve billing discrepancies effectively.
Analyzed claim denials to identify trends and implement corrective measures.
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
Externship
Ashey Pediatrics Administration Office
Edinburg, TX
01.2026 - 01.2026
Detail-oriented Medical Billing and Coding professional with hands-on externship experience reviewing patient records, assigning ICD-10, CPT, and HCPCS codes, and processing insurance claims. Knowledgeable in revenue cycle management, denial solution, and HIPPA compliance. Strong attention to detail with commitment to accuracy and efficiency.
ICD-10-CM, CPT, HCPCS coding
Maintain accurate billing and coding spreadsheets using Excel, ensuring timely claim submissions.
Insurance Verification
Accounts receivable and payment posting
Denial management and appeals
EHR/EMR systems (OP, Waystar, Availity)
HIPAA compliance
Attention to detail
Knowledge of CMS guidelines
Substitute
Progreso ISD
Progreso, TX
09.2025 - 12.2025
Provided instruction and classroom supervision across multiple grade levels.
Followed established lesson plans to ensure continuity of learning.
Adapted quickly to diverse classroom environments.
Managed student behavior effectively.
Maintained a safe, structured, and positive learning atmosphere.
Collaborated with school staff as needed.
Communicated daily progress to teachers and administrators.
Waitress
The Blue Onion
Weslaco, TX
01.2011 - 05.2019
Greeted and escorted guests to tables, fostering a warm welcome.
Always maintained a positive attitude towards guests by providing friendly conversation during interactions.
Checked on guests to verify satisfaction with each course.
Delivered meals to tables quickly while ensuring accuracy of orders placed by customers.
Responded promptly to guest complaints or concerns to maintain positive relationships between restaurant management and patrons.
Effectively managed large parties by providing efficient, attentive service while ensuring accuracy with orders.
Processed accurate cash and credit card transactions.
Collaborated effectively with restaurant staff to ensure timely delivery of orders to customers.
Answered telephone reservations or to-go orders.
Education
Certification - Medical Billing and Coding
SOUTHERN CAREERS INSTITUTE
PHARR, TX
01.2026
Certification - Dental Assisting
TEXAS STATE TECHNICAL COLLEGE
HARLINGEN, TX
05.2016
High School Diploma - undefined
SOUTH TEXAS ISD PROFESSIONALS
MERCEDES, TX
06.2009
Skills
Customer Service
Effective communication
Skilled at prioritizing tasks simultaneously
Time Management
Flexibility and Adaptability
Maintaining confidentiality
HIPAA compliance
Accurate payment posting
Insurance eligibility verification
Proficient in ICD-10 classification
Languages
English
Native or Bilingual
Spanish
Professional Working
Timeline
Medical Biller and Coder
Alliance In Health In Diabetes Wellness & Prevention Center
Medical Receptionist/Medical Biller and Coder at Alaska Center for PediatricsMedical Receptionist/Medical Biller and Coder at Alaska Center for Pediatrics