Paola Hernandez
Chandler,AZ
Summary
Accurate professional performs all aspects of medical billing, including coding, charge entry, transmission, correction, and resubmission. Brings several years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist Extern(160)
MomDoc
Chandler, AZ
03.2023 - 04.2023
Appointment Scheduling /Patient Account Specialist
MomDoc
Chandler, AZ
03.2023 - 09.2023
- Assisted with the preparation of financial statements for patients.
- Scheduled appointments for clients and customers, ensuring an appropriate amount of time was allotted for each appointment.
- Communicated with customers regarding payment plans and past due accounts.
- Prepared reports for management summarizing current status of customer accounts.
- Assisted in training new employees on patient accounting procedures.
- Maintained detailed records of all patient interactions including phone calls, emails.
- Processed incoming payments from patients and insurance companies.
- Processed refunds, disbursements, and payments.
- Processed cancellations and rescheduling requests promptly while maintaining accurate records of changes.
- Provided support to other departments when needed by answering phone calls and emails related to the scheduling process.
AR/ Billing Specialist
MomDoc
Chandler, AZ
09.2023 - Current
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Ensured claims accuracy through necessary corrections prior to submission to insurance.
- Added and verified insurance information
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Handled accounts payable and receivable, including invoicing and payment processing.
- Increased chances of securing reimbursement by orchestrating reconsideration and appeal submissions to insurers during payment processing.
Education
Medical Insurance Billing And Coding Diploma
Brookline College - Phoenix
Phoenix, AZ04-2023
Chandler High School
Chandler, AZ05-2018
Skills
- Anatomy and physiology
- HIPAA Compliance
- Claims Processing
- CPT coding/ICD-10 coding/HCPCS
- Insurance Verification
- Payment posting
- Medical Terminology
- Patient Scheduling
- Coding Error Resolution
- Training and mentoring
Certification
- CPR/AED
Timeline
AR/ Billing Specialist
MomDoc
09.2023 - Current
Medical Coding and Billing Specialist Extern(160)
MomDoc
03.2023 - 04.2023
Appointment Scheduling /Patient Account Specialist
MomDoc
03.2023 - 09.2023
Medical Insurance Billing And Coding Diploma
Brookline College - Phoenix
Chandler High School
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