Morgan Monteiro
AMARILLO
Summary
Detail-oriented Medical Biller and Coder with expertise in ICD-10 coding, denial management, and compliance. Proven ability to mentor junior staff and analyze claims for discrepancies, enhancing operational efficiency.
Experienced Medical Biller and Coder skilled in leading billing processes and ensuring compliance with healthcare regulations. Demonstrated success in reducing claim denials and mentoring junior staff to improve accuracy in coding and billing practices.
Highly skilled healthcare professional with strong expertise in medical billing and coding. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic.
Overview
9
9
years of professional experience
Work History
Medical Biller and Coder
Amarillo Medical Specialists
Amarillo
11.2019 - Current
- Led billing processes, ensuring compliance with healthcare regulations and timely submissions.
- Mentored junior staff in coding accuracy and billing practices to enhance team performance.
- Analyzed claims for discrepancies, improving resolution times and reducing rejections.
- Implemented new coding systems, streamlining workflows and increasing efficiency in billing operations.
- Monitored changes in insurance policies, adapting billing procedures to maintain compliance and efficiency.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Reconciled payment discrepancies to ensure financial integrity and accuracy.
- Coordinated with insurance providers to resolve payment issues efficiently.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
Billing Specialist
Quail Creek Ent
Amarillo, TX
03.2018 - 11.2019
- Processed high-volume billing transactions with accuracy and efficiency.
- Analyzed billing discrepancies, collaborating with departments to resolve issues promptly.
- Developed and maintained comprehensive documentation for billing procedures and policies.
- Streamlined invoicing processes, reducing turnaround time and enhancing client satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Reduced errors in financial records by conducting regular audits of billed accounts.
Billing Specialist
Allergy Arts
Amarillo, TX
03.2017 - 02.2018
- Trained new team members on billing software and best practices for accuracy.
- Implemented quality control measures to ensure compliance with industry standards in billing practices.
- Led initiatives to automate manual billing tasks, improving overall operational efficiency.
- Coordinated audits of billing records, ensuring integrity and consistency across financial reports.
- Worked with multiple departments to check proper billing information.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Optimized payment collection times by implementing effective follow-up strategies with clients.
- Increased revenue retention by setting up follow-up system for outstanding payments.
Education
High School Diploma -
Caprock High School
Amarillo, TX05-2011
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Patient account management
- Medicare and medicaid billing
- Claim submission
- Medical coding expertise
- Diagnostic coding
- Appeals processing
- Procedural coding
- Commercial insurance billing
- Denial management
- CPT coding
- Medical billing procedures
- Anatomy and physiology
- HCPCS level II coding
- Claims processing
- Data entry
- Medical terminology
- Medical billing
- Insurance claims analysis
- Document management
- Coding error resolution
- Clinical documentation
- Training and mentoring
- Medicare insurance regulations
- Coding appeals
- Organization skills
- Time management
- Telephone skills
- Verbal and written communication
- Appointment scheduling
- Data inputting
- Office administration
- Mail handling
- Clerical support
- Typing speed
- Multi-line telephone systems
- Basic accounting
- Microsoft Excel
- Bank reconciliation
- Invoicing and collections
- Accounts payable
- Month-end reports
- Attention to detail
Timeline
Medical Biller and Coder
Amarillo Medical Specialists
11.2019 - Current
Billing Specialist
Quail Creek Ent
03.2018 - 11.2019
Billing Specialist
Allergy Arts
03.2017 - 02.2018
High School Diploma -
Caprock High School