Hardworking Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Offering 10 years of experience in healthcare and excellent analytical skills.
Overview
9
9
years of professional experience
Work History
Medical Billing Manager
All Valley Urgent Care
2022.07 - Current
Perform daily medical billing, including medical coding, charge entry, payment posting, and reimbursement management
Manage day to day activities including task assignments, goal setting, and training for 6 employees
Monitor and evaluate clearinghouse rejection reports Reduced first-time claim submission errors to zero Accurate postings of paid claims
Analysis of daily revenue report for the practice Responsible for accounts receivable Credentialing Insurance posting and balancing
Responsible for contract set-up and implementation with new insurance carriers Responsible
Medical Biller III
Southern California Physician Services
2014.12 - 2022.07
Handle all medical billing for three locations
Process and enter payments from insurance companies and patients
Perform and analyze A/R Follow up to maximize revenue
Develop reports and analyze data in order to provide recommendation for improvement
Credential new clients and re-credential existing clients
Performs special project audits and reviews as requested and provide feedback on trends
Assisted patient with any financial and billing question
Patient Care Coordinator
La Maestra Community Health Center
2015.06 - 2016.09
Worked as part of a cohesive and innovative medical referrals team to provide support for medical providers and link patients with needed medical referrals
Obtained insurance eligibility and authorization for medical procedures, filled out and requested necessary referrals
Maintained ongoing tracking and appropriate documentation on referral tracking and ensure that referrals are addressed in a timely manner
Follow-up with patients, including reminding them of referral appointments, addressing barriers, and providing information and support; Worked together with providers on patient follow-up and trouble-shooting
Medical Assistant
Neurology Clinic
2014.06 - 2015.06
Established, updating and organizing patient files and medical records
Interviewed incoming patients prior to admission to gather demographic, insurance and emergency information
Obtained insurance eligibility and authorization for medical procedures, filled out and requested necessary referrals
Escorted patients to exam rooms; took and recording vitals; temperatures, height and weight measurements; took and recorded medical histories
Education
High School Diploma -
Calexico High School
Calexico, CA
Bachelor of Science - Health Information Management
San Diego Mesa College
San Diego, CA
2022
Associates - Health Information Technology
San Diego Mesa College
San Diego, CA
2020
Certified Medical Assistant (CMA) - undefined
2013
Skills
Revenue cycle
Medical Billing
A/R management
Data Analyst
Oversight Auditing
Patient Education
Accurately filling insurance forms
Medical Insurance knowledge (HMO, PPO, Medical, Medicare)
Affiliations
Heffernan Memorial Healthcare District-Board Member
Timeline
Medical Billing Manager
All Valley Urgent Care
2022.07 - Current
Patient Care Coordinator
La Maestra Community Health Center
2015.06 - 2016.09
Medical Biller III
Southern California Physician Services
2014.12 - 2022.07
Medical Assistant
Neurology Clinic
2014.06 - 2015.06
High School Diploma -
Calexico High School
Bachelor of Science - Health Information Management
San Diego Mesa College
Associates - Health Information Technology
San Diego Mesa College
Certified Medical Assistant (CMA) - undefined
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