Nancy Teyuca-Gomez

MEDICAL BILLER

CNCHC

10.2012 - 04.2024

Proficient in medical coding, including CPT, ICD-10, and HCPCS codes
Skilled in processing insurance claims, including Medicare, Medicaid, and private insurances
Experience in posting payments, appealing denied claims, and following up on outstanding balances.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Filed and updated patient information and medical records.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
Delivered timely and accurate charge submissions.
Trained new team members in medical billing software, increasing efficiency within the department.
Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Verified insurance of patients to determine eligibility.