Experienced in medical billing procedures and coding standards, leveraging strong analytical skills for accurate claim submissions and resolution. Deep understanding of insurance guidelines and healthcare regulations, consistently delivering precise billing operations.
Hi, I’m
Paul Daddona, CPC - A
Concord,CA
Summary
Overview
25
years of professional experience
1
Certification
Work History
University of California, Berkeley
Medical Billing Specialist
06.2024 - 11.2024
Job overview
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
Whole Foods Market
FRONT END REPRESENTATIVE
09.2021 - 06.2024
Job overview
- Provided client administrative services and introduced array of company services to increase positive customer experience and revenue goals
- Accurately processed each transaction with rectify payment
- Input billing data into administrative software
- Assists lead or supervisor in orienting, training, and mentoring staff
- Perform duties in a clam and professional manner
- Maintained excellent communication with customers, vendors and management to ensure all parties were updated on projects progress and approved changed orders
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
BEVMO
ASSISTANT GENERAL MANAGER
08.2015 - 04.2019
Job overview
- Followed team-oriented policies and practices in the food industry and provided new employees with training/coaching tools
- Achieved a 12% increase in sales through a recurring structure and verified signatures, checked both sales and personal training members’ contracts for accuracy and completion prior to submission audits
- Input billing data into administrative software
- Forecasted and replenished weekly department sales
- Managed daily revenue operations
- Evaluated financial status and established budget plans and goal
- Ensure daily reports were submitted in a timely matter
- Submit billing data to the appropriate vendors
- Managed membership database and transaction systems
- Provides ongoing training to staff as needed
PMD MANAGEMENT
OWNER
01.2000 - 08.2015
Job overview
- Directed upward momentum of several company-wide projects, while reporting to a customer service team, and provided top-notch customer service for multiple clients
- Consulted with clients and addressed their specific needs
- Designed and managed all aspects of multi-faceted projects with numerous deadlines
- Used market segmentation and various project management programs to ensure pinpoint accuracy
- Forecasted and promoted influential campaigns to new markets
- Detected, quantified, and enhanced new business opportunities in untested markets
- Developed and operated billing protocols to ensure accurate Profit & Loss and worked A/R
Education
Martinez Adult EducationMartinez, CA
Certificate from Medical Billing & Coding
08-2023
University Overview
- Professional Development: Certified Professional Coder Exam - AAPC - August 2023
Virginia Commonwealth UniversityRichmond, VA
Bachelor of Arts from Interior Design
05-1994
University Overview
Skills
- ICD-10 Proficiency
- CPT/HCPCS Expertise
- Medical Terminology
- Anatomy & Physiology
- Critical Thinking
- Chart Review
- Medical billing, Claim Submission, Payment and Posting
- Electronic Files & Records Management: EPIC, CompuLink
- Relationship Building and Retention
- Quality Oriented Team Player
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
- Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).
Timeline
Medical Billing Specialist
University of California, Berkeley
06.2024 - 11.2024
FRONT END REPRESENTATIVE
Whole Foods Market
09.2021 - 06.2024
ASSISTANT GENERAL MANAGER
BEVMO
08.2015 - 04.2019
OWNER
PMD MANAGEMENT
01.2000 - 08.2015
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
- Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).
Martinez Adult Education
Certificate from Medical Billing & Coding
Virginia Commonwealth University
Bachelor of Arts from Interior Design
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