PILAR FLORES
Tampa,FL
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level billing position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Efficient billing professional with 18 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
20
20
years of professional experience
Work History
Medical Billing Specialist
DR MAHESH PATEL MD
04.2006 - Current
- 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.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Handled account payments and provided information regarding outstanding balances.
- Maintained accurate records of customer payments.
Assistant Manager
NEWPORT PROPERY MANAGER
02.2004 - 03.2006
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Managed inventory levels to minimize stockouts while reducing overhead costs.
- Collaborated with the management team to develop strategic plans for business growth and improvement.
- Promoted teamwork within the workplace by encouraging collaboration among staff members on various project stasks.
- Created employee schedules to align coverage with forecasted demands.
- Coordinated with vendors to ensure timely delivery of products and resolve any supply chain issues.
- Developed strategy to increase sales and drive profits.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
Education
No Degree - BUSSINESS ADMINISTRATION
TAMPA COLLEGE
Tampa, FLHigh School Diploma -
PRE- UNIVERSITARIO DEL VEDADO
HAVANA - CUBA08.1976
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- Patient Billing
- CPT Knowledge
- Denial Management
- ICD-10 Proficiency
- Medicare and Medicaid process
- Medical Coding Expertise
- Bill payment
- Insurance Billing
- Data Entry
- Medical Billing
- Insurance Claims
- Billing and Collection Procedures
- Insurance claims processing
- ICD-10 Coding
- Multitasking and Organization
- Clerical Support
- Collection calls
- Customer Relations
- Itemized Statement Preparation
Languages
Spanish
Native or Bilingual
English
Timeline
Medical Billing Specialist
DR MAHESH PATEL MD
04.2006 - Current
Assistant Manager
NEWPORT PROPERY MANAGER
02.2004 - 03.2006
No Degree - BUSSINESS ADMINISTRATION
TAMPA COLLEGE
High School Diploma -
PRE- UNIVERSITARIO DEL VEDADO
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