Misneyda Torres
Houston,TX
Summary
Bilingual Nationally Registered Certified Coding Specialist and Medical Biller
Overview
2
2
years of professional experience
1
1
Certification
Work History
Payment Specialist
MEDICAL AR MANAGEMENT SERVICES llc
Houston, Texas
04.2025 - Current
- Processed payments for various clients in a timely manner.
- Resolved discrepancies in payment postings, improving accuracy of financial records.
- Conducted audits of payment transactions for quality assurance.
- Facilitated claims adjustments and denials to expedite reimbursements for clients.
- Ensured proper processing of insurance claims to prevent errors. to ensure accuracy and compliance.
- Verified bank deposits, credit card charges, wire transfers, checks.
- Entered invoices requiring payment and disbursed amounts via Visa check, electronic transfers, or bank draft.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer, or bank draft.
- Developed strong relationships with banks, credit card processors, and other external partners for seamless collaboration in handling payments.
- Oversaw processing of credit cards, insurance, and check payments through medical software to streamline payment operations.
- Oversaw monthly closing activities, ensuring accurate recording of financial transactions within set deadlines.
- Adjusted patient accounts based on denial reasons to ensure accurate billing.
Medical Billing and Collections Specialist
Reconstructive Orthopedic Center
Houston, TX
04.2024 - 04.2025
- Verified patient insurance eligibility and coverage for medical services rendered.
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Resolved billing discrepancies with insurance companies and patients.
- Reconciled accounts receivable reports to ensure accuracy of payments received.
- Developed and implemented strategies that improved collection rates and minimized outstanding debt.
- Processed credit card payments from patients for medical services rendered.
- Collaborated closely with other departments such as clinical staff and front desk personnel to ensure accurate coding of services provided.
- Applied ICD-10-CM codes for diagnoses, CPT codes for procedures, and HCPCS codes for supplies and modifiers.
- Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
- Created and maintained a database for tracking patient information, surgery dates, and relevant data to streamline billing processes.
- Resolved any discrepancies between patient records and pre-surgery documentation.
- Worked closely with doctors' offices to coordinate patient referrals for surgery services.
- Coordinated with medical staff to ensure timely completion of necessary paperwork for scheduled procedures.
- Maintained an up-to-date list of available operating rooms and equipment for surgical teams.
- Developed reports detailing upcoming operations and associated costs.
- Scheduled follow-up appointments according to post-operative protocols.
Certified Medical Coder and Biller Extern
Healthcare Business Connections
Houston, TX
03.2024
- Collected patient payments and coinsurance, ensuring accurate financial transactions.
- Checked in/out patients and verified insurance coverage, facilitating smooth patient flow.
- Processed patient billing and posted payments, maintaining accurate financial records.
Education
Medical Coding & Billing Program -
The College of Health Care Professions
01.2024
High School Diploma -
Elsik High School
01.2018
Skills
- Bilingual: Fluent in English and Spanish
- Data entry efficiency
- Electronic Health Record Management
- Use of CMS 1500 and UB 04 forms for outpatient and hospital billing
- Skilled in multiple software’s such as SAP, Microsoft office, Word, Excel, PowerPoint, Outlook
- Perform billing and coding for Medicare, Medicaid, and Tricare
- Medical collections
- Anatomy and Physiology trained
- Electronic Claims Submissions
- Knowledge of ICD-10-CM, CPT, ICD-10-PCS, and HCPCS coding for billing and insurance
- EOB Interpretation
- Proficiency meeting strict productivity deadlines while maintaining high quality standards
- Medical Terminology
- Insurance verification, Referrals, Authorizations, and Coordinating Benefits
- Process payment arrangements and appeals
- Schedule patient appointments and answer multiline medical phones; relaying messages accurately
- Extensive training using ICD-10, CPT, and HCPCS coding and guidelines
- Inpatient and hospital outpatient coding
- Knowledge of unfair debt collections
- Office policy and procedures, customer service, problem solving, and conflict resolution
- Insurance Claims Handling and Processing
Certification
• Nationally Registered Certified Coding Specialist, 05/01/24
• Basic Life Support for Healthcare Providers (CPR, First Aid & AED Certification)
• OSHA & HIPAA Certifications
• Basic Life Support for Healthcare Providers (CPR, First Aid & AED Certification)
• OSHA & HIPAA Certifications
Personal Information
Title: NRCCS
Timeline
Payment Specialist
MEDICAL AR MANAGEMENT SERVICES llc
04.2025 - Current
Medical Billing and Collections Specialist
Reconstructive Orthopedic Center
04.2024 - 04.2025
Certified Medical Coder and Biller Extern
Healthcare Business Connections
03.2024
Medical Coding & Billing Program -
The College of Health Care Professions
High School Diploma -
Elsik High School