Monica Padilla
Anaheim,CA
Summary
Certified Medical Billing Specialist with 6 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Medical Billing Specialist
Medata
10.2018 - 06.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Posted and adjusted payments from insurance companies.
Medical Analyst
CorVel
07.2017 - 09.2018
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
- Scanned and uploaded medical records into electronic medical records system.
- Tracked and monitored requests for medical records release.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Medical Receptionist
W.H Dr. Welch DC
04.2017 - 07.2017
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained current and accurate medical records for patients.
Account Manager
Tech Waste Recycling
08.2014 - 04.2017
- Addressed problems with accounting, billing, and service delivery to maintain and enhance client satisfaction.
- Built and strengthened long-lasting client relationships based on accurate price quotes and customer-centric terms.
- Educated clients on new products or services to increase customer engagement with brand.
- Facilitated client satisfaction and renewed customer relations to drive growth.
- Evaluated client needs and developed tailored solutions to increase positive customer ratings.
Education
Trade School - Medical Billing And Coding
American Career College
Los Angeles, CA04.2017
High School Diploma -
La Quinta High School
Westminster, CA06.2000
Skills
- MEDISOFT
- Medical Records Security
- Equipment Monitoring and Troubleshooting
- Accounting Functions
- Electronic Health Record Software
- Legal Standards
- Medicare and Medicaid Processes
- Regulatory Compliance
- Accounting and Financial Management
Languages
Spanish
Native or Bilingual
Timeline
Medical Billing Specialist
Medata
10.2018 - 06.2023
Medical Analyst
CorVel
07.2017 - 09.2018
Medical Receptionist
W.H Dr. Welch DC
04.2017 - 07.2017
Account Manager
Tech Waste Recycling
08.2014 - 04.2017
Trade School - Medical Billing And Coding
American Career College
High School Diploma -
La Quinta High School
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