Experienced with medical billing and coding, ensuring accurate claim processing. Utilizes in-depth knowledge of CPT, ICD-10, and HCPCS codes to enhance billing accuracy. Track record of improving revenue cycle management and maintaining compliance with industry standards.
Overview
25
25
years of professional experience
Work History
Administrative Assistant
Rad Diversified REIT
Ontario, CA
04.2022 - 06.2025
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Supported office operations by ordering supplies and maintaining inventory levels.
Supported executive staff through scheduling meetings, coordinating company events, and preparing crucial documents.
Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Managed filing system, entered data and completed other clerical tasks.
Managed phone 50 and email correspondence and handled incoming and outgoing mail and faxes.
Medical Biller Manager
Dr. Rommie Fakhoury M.D.
Rancho Cucamonga, CA
04.2006 - 09.2019
Processed medical claims efficiently, ensuring accuracy in billing submissions.
Reviewed patient accounts to resolve discrepancies and minimize denials.
Utilized electronic health record systems for accurate data entry and retrieval.
Collaborated with healthcare providers to clarify billing information and procedures.
Communicated with insurance providers to resolve denied claims and resubmitted.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Cross-trained existing employees to maximize team agility and performance.
Accomplished multiple tasks within established timeframes.
Mentored junior staff, enhancing their skills in patient management and office procedures.
Collaborated with customers to resolve disputes.
Audited and corrected billing and posting documents for accuracy.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Orchestrated transition to ICD-10 coding system, minimizing disruptions to billing operations.
Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.
Medical Biller
Cucamonga Valley Medical Group
Fontana, CA
02.2006 - 05.2007
Processed and submitted medical claims to insurance payers accurately and efficiently.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Delivered timely and accurate charge submissions.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Prepared billing statements for patients and verified correct diagnostic coding.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
Responded to customer concerns and questions on daily basis.
Monitored outstanding invoices and performed collections duties.
Generated monthly billing and posting reports for management review.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Billing Clerk
San Antonio Regional Hospital
Rancho Cucamonga, CA
01.2000 - 04.2006
Managed patient scheduling, ensuring efficient use of resources and minimizing wait times.
Provided exceptional customer service while handling front desk duties such as greeting visitors, checking IDs, guiding them through the registration process.
Managed incoming calls professionally, directing inquiries to appropriate personnel while minimizing interruptions to office productivity.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.