Summary

Overview

Work History

Education

Skills

Timeline

Nancy Camacho

Riverside,CA

Summary

Dynamic Medical Billing Specialist with extensive experience in claim resolution and insurance verification at Primary Care Sports Medicine. Bilingual in English and Spanish, leveraging strong communication skills and meticulous attention to detail to enhance patient interactions. Proven track record in streamlining billing processes, ensuring timely collections, and maintaining accurate financial management. Committed to optimizing operational efficiency and improving patient satisfaction.

Overview

years of professional experience

Work History

Medical Billing Specialist

Primary Care Sports Medicine

Agoura Hills, CA

01.2024 - Current

Verify patient insurance eligibility for accurate billing.
Review and resolve denied claims with insurance providers.
Maintain detailed records of patient accounts and transactions.
Communicate with healthcare providers regarding billing inquiries.
Going over patient accounts and generating statements.
Assist patients with understanding their financial responsibilities.
Collaborate with the coding team to ensure accuracy in charges.
Posted charges, payments and adjustments.
Completed appeals and filed and submitted claims.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Provided customer service support to patients who had questions about their bills or payments due.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.

Front Office Assistant

University Foot & Ankle

Santa Monica, CA

06.2013 - Current

Managed doctor's schedule
Answer high volume calls
Scheduling appointments
Checking patients in and out
Collecting co pays/deductibles and balances
Confirming appointments
Submitting referrals with the UCLA Health System
Verified insurance eligibility for patients and coordinated claims processes.
Reviewed medical documentation to ensure compliance with insurance requirements.
Maintain patients records up to date
File and scan paperwork to patient's chart
Post payments to accounts and provide excellent customer service.
Managed customer accounts, ensuring timely updates and communication of billing changes.
Provided exceptional customer service by addressing inquiries regarding billing issues.
Answered customer inquiries regarding billings, payments, account status.
Investigated incorrect billings and processed refunds as necessary.
Resolved discrepancies between customers' remittances and invoices received.
Managed accounts receivable aging reports to ensure timely collections.
Maintained customer records in billing software for up-to-date information.

Clinical Coordinator/ Surgical Coordinator

Spinecal

Santa Monica, CA

01.2011 - 05.2013

Medical Office management
Medical Records management
Schedule appointments for patients
Create patient's files
Filed
Answered phones
Organize examination room's
Set up and sterilized patient room
Create documents using Microsoft Word
ICD 9 and CPT coding
Call in prescriptions to pharmacies
Experience with workers comp and personal Injury patients
Schedule surgeries.

Medical Assistant

Shobhana Gandhi MD

Los Angeles, CA

09.2010 - 10.2010

OBGYN facility
Blood draws
Staple removal
Set up and sterilized patient room
Sterilized equipment
Assisted with pap smear
Answered phones
Scheduled appointments
Create patient files
Filed
Children immunizations.