Summary
Overview
Work History
Education
Skills
Personal Information
References
Affiliations
Certification
Timeline
Generic

NINFA GARCIA

Summary

Dependable and hardworking candidate eager to secure a coding position. Ready to help team achieve company goals.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Business Office Specialist 1

DHRHealth
09.2018 - Current
  • Work on claim submission, verifying that ICD-10 and CPTs are correctly used
  • Fix rejections that are received on a daily basis from the clearinghouse
  • Review and correct ERAs and paper denials by adding appropriate modifier/s and/or correcting diagnosis/es
  • Access medical records for appeals and denials, submit to corresponding plan and follow up with insurance company for final decision
  • Reverse patient charges if incorrect adjustment due to denial findings
  • Enter charges for several clinics/specialties
  • Verify eligibility
  • Balance payments for each batch posted
  • Programs use: Medisoft, Cerner, Paragon, Microsoft and Excel
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Worked effectively in fast-paced environments.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.

Medical Biller and Coder

Northwest Eye Physicians
01.2000 - 01.2018
  • Coded surgeries
  • Processed daily payments from insurance companies and patients
  • Scrub claims
  • Correct coding errors
  • Verify eligibility and benefits
  • Online claim submission and ERA
  • Appeal to insurances for payment
  • Retrieve Electronic Remittance Advice
  • Reviewed patient accounts
  • Prepared and mailed statements to patients
  • Answer and resolve patient billing inquiries
  • Follow up on insurance and patient aging accounts
  • Keep constant contact with collection agency
  • Kept AR report low
  • Used MDOffice for billing and appointment scheduling and IOPracticeware for EHR
  • Trained new front desk employees (check in and check out)
  • Helped front desk when needed by answering phones, schedule appointments, check in and check out.

Education

Medical Transcribing Certificate -

Texas State Technical College
Harlingen, TX
01.1995

High School Diploma -

Donna High School
Donna, TX
01.1992

Skills

  • Coding
  • ICD-10
  • Medical terminology
  • Claim entry and payment posting
  • Submitting claims
  • Denial Resolution
  • Claim submission
  • Account reviews and assessment
  • Collections experience
  • Healthcare compliance
  • Claims Management

Personal Information

Title: CPC-A

References

Upon request

Affiliations

  • AAPC

Certification

  • Licensed Coder

Timeline

Business Office Specialist 1

DHRHealth
09.2018 - Current

Medical Biller and Coder

Northwest Eye Physicians
01.2000 - 01.2018

Medical Transcribing Certificate -

Texas State Technical College

High School Diploma -

Donna High School

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NINFA GARCIA