Melissa Delgado
Lutz,FL
Summary
Dedicated and self-motivated Certified Professional Coder (CPC) seeking an opportunity where I can challenge my potential and knowledge acquired in the field. My objective is obtaining a role that will allow me to use my qualities and skills to grow my career exponentially and contribute to the success of the company.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Biller
Capricorn Healthcare Services LLC
Tampa, FL
10.2024 - Current
- Confirming patient demographics, insurance eligibility, and benefits coverage before processing claims.
- Preparing and electronically submitting accurate medical claims to insurance companies using correct billing codes supporting me from the ICD-10-CM, CPT and HCPCS books.
- Obtaining necessary prior authorizations for medications and DME supplies.
- Reviewing claim rejections and denials, identifying errors, and taking corrective actions to resubmit claims for payment.
- Contacting insurance companies to resolve billing issues, check claim status, and pursue outstanding payments.
- Ensuring correct application of billing codes based on patient diagnoses and prescriptions.
- Staying updated on billing regulations and ensuring adherence to HIPPA privacy standards.
Service Advocate/Cashier
Target
Tampa, FL
07.2024 - 10.2024
- Use problem-solving and decision making skills to resolve guest concerns and improve the guest experience.
- Handle returns including drive-up returns, and partner with leaders to resolve any issues.
- Provide accurate and easy service for order pickup, drive-up, and registry guests.
- Maintain a culture of compliance with federal, state, and local laws.
Cashier/Customer Service
Publix
Saint Petersburg, USA
11.2023 - 04.2024
- Provide friendly, courteous, and prompt service
- Using specific till technology such as registers, scanners, scales and credit/debit card terminals
- Handling exchanges and refunds in a quick, efficient manner
- Memorizing products codes and safety regulations
Data Entry Volunteer
ADTREMED RESEARCH CLINIC
Tampa, USA
08.2022 - 09.2023
- Schedule appointment to the patients as new patients and for follow-up
- Collaborating requesting and collecting medical records from patients to medical clinics and hospitals
- Assisting reviewing medical records information to identify, collect and assess for accuracy
- Experienced during the patient screening helping to identify diagnosis
- Assisting with the data entry in the electronic medical records and maintenance of binders
- Used ICD-10-CM/CPT/HCPCS and guidelines books to review medical records to study patterns of disease, patterns of care and outcomes of disease
Education
Certified Professional Coder -
Integral Academy of Coding
Tampa, Florida05.2024
Industrial Engineering -
University of Cienfuegos
Cienfuegos, Cuba05-2022
Skills
- Demonstrated knowledge of ICD-10-CM, CPT, HCPCS (Level II) books
- Medical Terminology
- Ability to analyze medical records and diagnoses
- Excellent data entry skills for accurate coding and billing of medical information
- Knowlege of how to accurately code medications, DME supplies and related services
- Familiarity with different insurance plans and billing guidelines
- Experience with electronic health records (EHR)
- Computer proficient in Microsoft Word, Excel, Power Point, Outlook
- Attention to detail
- Time management
- Good interpersonal communication and effective communication with medical offices, patients and insurance companies
Certification
Certified Professional Coder, 05/01/24
Integral Academy of Coding, Tampa, FL
AAPC Member ID: 02213655
References
- Arlene Padron Alfonso (ARNP), (813) 389-5111, parlene215@gmail.com
- Pavel Cabanes Santander (ARNP), (813) 500-8530, pcabanes76@icloud.com
Languages
- Spanish, Native
- English, Professional job level
Timeline
Medical Biller
Capricorn Healthcare Services LLC
10.2024 - Current
Service Advocate/Cashier
Target
07.2024 - 10.2024
Cashier/Customer Service
Publix
11.2023 - 04.2024
Data Entry Volunteer
ADTREMED RESEARCH CLINIC
08.2022 - 09.2023
Certified Professional Coder -
Integral Academy of Coding
Industrial Engineering -
University of Cienfuegos