Monserrath Villalobos
Santa Ana,CA
Summary
Certified Medical Biller and Coder with 5+ years of hands on experience in full-cycle billing, from patient intake to claims resolution. Bilingual and detail oriented with a strong track record in problem solving whether correcting denied claims or assisting patients with billing questions. Experienced in managing claims A to Z, working collaboratively in fast-paced environments, and continuously learning to improve processes and outcomes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Biller
Families Together Of Orange County
11.2021 - Current
- Oversee the entire billing cycle from patient intake, insurance verification, authorizations, and charge entry to claims submission, payment posting, and denial resolution.
- Regularly evaluate and integrate internal processes between the Pre-Production and Production Billing teams to streamline workflows and improve efficiency.
- Supervise and support a team of billers in day-to-day billing activities, providing training, guidance, and performance monitoring.
- Monitor all data output to ensure user validity and uphold the integrity of the billing system.
- Properly code medical services and diagnoses (ICD-10, CPT) to ensure accuracy and compliance with payer requirements.
- Submit billing data to appropriate insurance providers and follow up on unpaid or denied claims, including correcting coding errors and resubmitting as necessary.
- Invoice patients and insurance companies, track and collect payments, and manage outstanding balances — including setting up and maintaining payment plans.
- Manage patient accounts and insurance claims with a strong focus on accuracy, timeliness, and HIPAA compliance.
- Record daily productivity and error rates using Excel spreadsheets to track team performance and identify areas for improvement.
- Assist the billing team directly as needed to meet departmental goals and resolve complex or escalated billing issues.
- Continuously look for opportunities to improve revenue cycle operations, reduce denials, and increase collections.
Customer Service
State Farm Agency
01.2021 - 01.2021
- Maintain customers’ accounts and record account information.
- Oversee customers’ financial accounts and process adjustments.
- Handle incoming calls or inquiries from perspectives or clients.
- Provide customer additional information or explain services/Benefits.
- Discuss Benefits offered and ensure customer satisfaction.
Medical Biller/ Collector
Select Billing Services
01.2017 - 01.2019
- Managed daily operations of the billing department, ensuring timely and accurate claims processing and payment posting.
- Handled insurance claims and payment posting with attention to detail and compliance.
- Contacted insurance companies to resolve unpaid claims and denials, expediting payment through effective follow-up and communication.
- Provided required documentation and information to payers to facilitate claim approval and reimbursement.
- Conducted patient account intake and maintained accurate records.
- Performed insurance verification and obtained necessary authorizations for services.
Assistant manager (Food Court)
Wholesome Choice
01.2015 - 01.2017
- Leadership and management skills telling people what to do.
- Organizational skills, arranging schedules.
- The ability to control a budget and work with figures.
- The ability to work under pressure and make quick decisions.
- The ability to stay calm and overcome any food production problems.
File Assistant
Wholesome Choice
01.2014 - 01.2015
- Understanding where files needed to go, explained to people how to request information.
- Computer Skills: File clerks needed to be able to understand and use computers.
- Discretion: File clerks might have had access to sensitive information, such as social security numbers.
- Organization: Databases needed organization to work correctly.
- Putting files in the right place so they can be retrieved later is a big part of the job.
Education
Licensed Medical Billing and Coding Certification -
UEI College
01-2017
High School Diploma -
Santa Ana College School of Continuing Education
01-2011
High School Diploma -
La Quinta High School
01-2009
Skills
- Insurance Verification & Claims Management
- Problem Solving & Denial Resolution
- Customer Service & Patient Communication
- Appointment Scheduling & Phone Support
- Medical Office Administration (Faxing, Filing, Copying)
- Computer Skills, EHR Systems & Microsoft Excel
- Medical Billing & Coding (ICD-10, CPT, HCPCS)
- Typing 40-45 words/minute
Certification
- CPR
- Medi –Soft
- EHR
- HIPAA
Languages
Spanish
Timeline
Medical Biller
Families Together Of Orange County
11.2021 - Current
Customer Service
State Farm Agency
01.2021 - 01.2021
Medical Biller/ Collector
Select Billing Services
01.2017 - 01.2019
Assistant manager (Food Court)
Wholesome Choice
01.2015 - 01.2017
File Assistant
Wholesome Choice
01.2014 - 01.2015
Licensed Medical Billing and Coding Certification -
UEI College
High School Diploma -
Santa Ana College School of Continuing Education
High School Diploma -
La Quinta High School
Similar Profiles
Elizet RodriguezElizet Rodriguez
Medical Assistant Virtual Dept Lead /MAT Lead at Families Together of Orange CountyMedical Assistant Virtual Dept Lead /MAT Lead at Families Together of Orange County
Tania VillalobosTania Villalobos
Front Office Medical Assistant at Families Together Of Orange CountyFront Office Medical Assistant at Families Together Of Orange County
Susana NamisatoSusana Namisato
Care Coordinator at Families Together Of Orange CountyCare Coordinator at Families Together Of Orange County
Edwin MayoEdwin Mayo
Last Mile/ R&P Solutions LLC at CarrierLast Mile/ R&P Solutions LLC at Carrier
Lisdeiny BustosLisdeiny Bustos
Fry,Cook, Cashier at Raising Cane's RestaurantsFry,Cook, Cashier at Raising Cane's Restaurants